Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2016
NPI: 1164874822
Practice Locations (2)
CEP AMERICA LLC
12303 DE PAUL DR
BRIDGETON, MO 630442512
3143446000
MERCY HOSPITAL SOUTH
10010 KENNERLY RD
SAINT LOUIS, MO 631282106
3145251906
Source: CMS National Downloadable File, September 2026.