Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
Also: GERIATRIC MEDICINE
NPI: 1487784245
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
2345 BENT WAY, KAISER PERMANENTE LONGMONT MED
LONGMONT, CO 805037614
3033384545
Source: CMS National Downloadable File, September 2026.