Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1983
NPI: 1790792273
Practice Locations (2)
8200 E 34TH CIR N
WICHITA, KS 672261362
3906 OAKLAND AVE, UNIT 8252
SAINT JOSEPH, MO 645080001
Source: CMS National Downloadable File, September 2026.