Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1902929094
Practice Locations (2)
SWEDISH HEALTH SERVICES
751 NE BLAKELY DR
ISSAQUAH, WA 980296201
SWEDISH HEALTH SERVICES
747 BROADWAY
SEATTLE, WA 981224379
2063866000
Source: CMS National Downloadable File, September 2026.