Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1985
NPI: 1013992213
Practice Locations (2)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
GROUP HEALTH PLAN INC
2500 COMO AVE
SAINT PAUL, MN 551081460
6516410020
Source: CMS National Downloadable File, September 2026.