Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1174527832
Practice Locations (1)
VERNON MEMORIAL HEALTHCARE INC
206 N MILL ST
LA FARGE, WI 546396601
6086252494
Source: CMS National Downloadable File, September 2026.