Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1629026208
Practice Locations (2)
FAIRVIEW HEIGHTS MEDICAL GROUP SC
1 MEMORIAL DR
ALTON, IL 620026722
6184637240
FAIRVIEW HEIGHTS MEDICAL GROUP SC
2122 TROY RD, SUITE 130
EDWARDSVILLE, IL 620252540
6184637600
Source: CMS National Downloadable File, September 2026.