Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1989
Also: GERIATRIC PSYCHIATRY
NPI: 1295704807
Practice Locations (2)
STATE OF KANSAS-ACCOUNTING SERVICES
1301 K264 HWY
LARNED, KS 675505353
STATE OF KANSAS-ACCOUNTING SERVICES
1301 KS HWY 264
LARNED, KS 675505353
6202852131
Source: CMS National Downloadable File, September 2026.