Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1750439055
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
20200 54TH AVE W
LYNNWOOD, WA 980366318
4256726400
Source: CMS National Downloadable File, September 2026.