Graduated: 1996
NPI: 1003951799
Practice Locations (3)
SWEDISHAMERICAN HOSPITAL
1401 E STATE ST
ROCKFORD, IL 611042315
8154894400
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE, WA 991143354
5096843701
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
Source: CMS National Downloadable File, September 2026.