Medical school: MINNEAPOLIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1985
Also: PREVENTIVE MEDICINE
NPI: 1730271040
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
801 TRAEGER AVE, SUITE 212
SAN BRUNO, CA 940663048
6507422000
Source: CMS National Downloadable File, September 2026.