Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1974
Offers telehealth
NPI: 1104902121
Practice Locations (1)
PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES
649 /2 STATE ST NW
EVANSVILLE, MN 563268124
2189482040
Source: CMS National Downloadable File, September 2026.