Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1981
NPI: 1023021151
Practice Locations (1)
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
152 W DALE ST
WATERLOO, IA 507031925
3192355060
Source: CMS National Downloadable File, September 2026.