Medical school: UNIVERSITY OF TEXAS HSC AT HOUSTON SCHOOL OF DENTISTRY
Graduated: 1988
NPI: 1487720983
Practice Locations (2)
GROUP HEALTH PLAN INC
3930 NORTHWOOD DR
ARDEN HILLS, MN 551126963
GROUP HEALTH PLAN INC
2500 COMO AVE
SAINT PAUL, MN 551081460
6516410020
Source: CMS National Downloadable File, September 2026.