Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1639147069
Practice Locations (3)
STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
3700 PIPER ST
ANCHORAGE, AK 995084665
9072697100
GROUP HEALTH PLAN INC
8600 NICOLLET AVE
BLOOMINGTON, MN 554202824
9528841148
GROUP HEALTH PLAN INC
640 JACKSON ST
SAINT PAUL, MN 551012502
6512213456
Source: CMS National Downloadable File, September 2026.