Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2006
NPI: 1790981207
Practice Locations (1)
PREMIER DERMATOLOGY LTD
441 E SAN MARNAN DR, SUITE 110
WATERLOO, IA 507025900
3192346000
Source: CMS National Downloadable File, September 2026.