Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1861492803
Practice Locations (2)
2444 W FAIDLEY AVE
GRAND ISLAND, NE 688034327
GRAND ISLAND CLINIC INC
2444 W FAIDLEY AVE
GRAND ISLAND, NE 688034327
3083821100
Source: CMS National Downloadable File, September 2026.