Medical school: LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 1992
NPI: 1831114974
Practice Locations (1)
PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOCIATION INC
37868 US HWY 18
PRAIRIE DU CHIEN, WI 538218416
6083572000
Source: CMS National Downloadable File, September 2026.