Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1987
NPI: 1033133202
Practice Locations (2)
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
509 ELM ST
GARBERVILLE, CA 955423204
7079233921
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
733 CEDAR ST
GARBERVILLE, CA 955423201
70792339211276
Source: CMS National Downloadable File, September 2026.