Graduated: 1988
NPI: 1710943279
Practice Locations (5)
202 N ESTHER ST
FULLERTON, NE 686383029
3085362488
15403 SARATOGA ST
Omaha, NE 681168491
15403 SARATOGA ST
OMAHA, NE 681168491
4024960003
411 W GENOA ST
RAVENNA, NE 688691213
3084523230
117 E 3RD ST
STROMSBURG, NE 686663035
4027648227
Source: CMS National Downloadable File, September 2026.