Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1033186374
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
7300 N FRESNO ST
FRESNO, CA 937202941
5594484500
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.