Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1989
NPI: 1124120076
Practice Locations (2)
MEMORIAL HOSPITAL ASSOCIATION
1454 N COUNTY RD, SUITE 2050
CARTHAGE, IL 623210160
2173578500
MASON HOSPITAL DISTRICT
615 N PROMENADE ST
HAVANA, IL 626441243
3095438510
Source: CMS National Downloadable File, September 2026.