Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1508846007
Practice Locations (3)
29980 NETWORK PL
CHICAGO, IL 606731299
1836 S AVE
La Crosse, WI 546015429
1836 S AVE
LA CROSSE, WI 54601
Source: CMS National Downloadable File, September 2026.