Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 1988
Offers telehealth
NPI: 1992786735
Practice Locations (1)
PARK NICOLLET CLINIC
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162527
9529933123
Source: CMS National Downloadable File, September 2026.