Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1467450049
Practice Locations (3)
3999 DUTCHMANS LN, SUBURBAN MEDICAL PLAZA I SUITE 2G
Louisville, KY 402074729
3999 DUTCHMANS LN, 2G
LOUISVILLE, KY 402074717
3999 DUTCHMANS LN, 2G
LOUISVILLE, KY 402074748
5028930491
Source: CMS National Downloadable File, September 2026.