Graduated: 2019
NPI: 1174181804
Practice Locations (2)
MIDWEST COUNTRY CLINIC LLC
407 S CLARK ST
BASSETT, NE 687146043
4026842908
MIDWEST COUNTRY CLINIC LLC
805 S F ST, SUITE 20
BROKEN BOW, NE 688222433
4026842908
Source: CMS National Downloadable File, September 2026.