Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2010
NPI: 1003127903
Practice Locations (1)
PRAIRIE LAKES HEALTH CARE SYSTEM INC
401 9TH AVE NW
WATERTOWN, SD 572011548
6058827000
Source: CMS National Downloadable File, September 2026.