Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1144397845
Practice Locations (2)
THEDACARE, INCORPORATED
699 E CARLQUIST DR
DRAPER, UT 840205309
9207202300
THEDACARE, INCORPORATED
1095 MIDWAY RD
MENASHA, WI 549521115
9207202300
Source: CMS National Downloadable File, September 2026.