Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1969
NPI: 1467437616
Practice Locations (1)
WHITE-WILSON MEDICAL CENTER PA
999 MAR WALT DR, EAST BUILDING
FORT WALTON BEACH, FL 325476758
8508638100
Source: CMS National Downloadable File, September 2026.