Graduated: 1986
NPI: 1396771606
Practice Locations (2)
MEDWIN PRIMARY CARE L.L.C.
123 WEDGEWOOD DR
COLUMBIA, IL 622361052
6182812233
MEDWIN PRIMARY CARE L.L.C.
3619 RICHARDSON SQUARE DR, SUITE 150
ARNOLD, MO 630106021
6364611414
Source: CMS National Downloadable File, September 2026.