Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1990
NPI: 1275502288
Practice Locations (2)
GENESIS HEALTH SYSTEM
1008 11TH ST
DE WITT, IA 527421210
5636599137
GENESIS HEALTH SYSTEM
1021 11TH ST
DE WITT, IA 527421209
5636599294
Source: CMS National Downloadable File, September 2026.