Medical school: UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduated: 1991
NPI: 1376516229
Practice Locations (2)
FROEDTERT SOUTH INC
6308 8TH AVE
KENOSHA, WI 531435031
2626535300
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
1 MEDICAL CTR DR
MORGANTOWN, WV 265061200
3042934500
Source: CMS National Downloadable File, September 2026.