Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1043217722
Practice Locations (1)
WICHITA SURGICAL SPECIALISTS PA
551 N HILLSIDE ST, SUITE 201
WICHITA, KS 672144923
3162630296
Source: CMS National Downloadable File, September 2026.