Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1996
NPI: 1417049453
Practice Locations (3)
255 W MICHIGAN AVE, PO BOX 1123
JACKSON, MI 492012218
7822 DAVENPORT ST
Omaha, NE 681143629
7822 DAVENPORT ST
OMAHA, NE 681143679
Source: CMS National Downloadable File, September 2026.