Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1578588257
Practice Locations (2)
4400 LUCILE DR
LINCOLN, NE 685164211
PLASTIC SURGICAL ARTS PC
4400 LUCILE DR
LINCOLN, NE 685164211
4024832572
Source: CMS National Downloadable File, September 2026.