Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1995
Also: SPORTS MEDICINE
NPI: 1639224074
Practice Locations (1)
PROLIANCE SURGEONS INC P S
12911 120TH AVE NE, SUITE H210
KIRKLAND, WA 980343065
4258234000
Source: CMS National Downloadable File, September 2026.