Medical school: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1225014319
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.