Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2000
NPI: 1346322559
Practice Locations (2)
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015907
9074593500
MORGANTON ANESTHESIA PARTNERS, PLLC
2201 S STERLING ST
MORGANTON, NC 286554044
8285805000
Source: CMS National Downloadable File, September 2026.