Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1986
Also: INTERNAL MEDICINE
NPI: 1184687378
Practice Locations (1)
ID GROUP, PLLC
1000 E 3RD ST, SUITE 302
CHATTANOOGA, TN 374032155
4236645165
Source: CMS National Downloadable File, September 2026.