Medical school: UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
Graduated: 1998
NPI: 1639241342
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC
788 OAKLEAF WAY
ALTOONA, WI 547202265
7158348414
Source: CMS National Downloadable File, September 2026.