Graduated: 2010
NPI: 1184940892
Practice Locations (3)
TANANA CHIEFS CONFERENCE
1717 W COWLES ST
FAIRBANKS, AK 997015926
9074516682
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
675 W WASHINGTON AVE
MADISON, WI 537032637
6082579700
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
8202 EXCELSIOR DR
MADISON, WI 537171906
6088311766
Source: CMS National Downloadable File, September 2026.