Medical school: UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1366520868
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
39400 PASEO PADRE PKWY
FREMONT, CA 945382310
5102483000
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
Source: CMS National Downloadable File, September 2026.