Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1619952991
Practice Locations (4)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
4610 COUNTRY CLUB RD
WINSTON SALEM, NC 271043520
3367162255
WAKE FOREST UNIVERSITY HEALTH SCIENCES
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 271043520
3367162255
WAKE FOREST UNIVERSITY HEALTH SCIENCES
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 271043520
3367163926
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.