Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1987
NPI: 1417924481
Practice Locations (3)
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
GROUP HEALTH PLAN INC
205 WABASHA AVE S
SAINT PAUL, MN 551071805
GROUP HEALTH PLAN INC
2500 COMO AVE
SAINT PAUL, MN 551081460
6516410020
Source: CMS National Downloadable File, September 2026.