Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 1984
NPI: 1215911813
Practice Locations (2)
825 S 169TH ST FL, SUITE 3
OMAHA, NE 681189300
8601 W DODGE RD, SUITE 216
OMAHA, NE 681143495
Source: CMS National Downloadable File, September 2026.