Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
Graduated: 1991
NPI: 1205908936
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC
788 OAKLEAF WAY
ALTOONA, WI 547202265
7158348414
Source: CMS National Downloadable File, September 2026.