Graduated: 2011
NPI: 1871870998
Practice Locations (2)
MIDWEST EMERGENCY DEPARTMENT SPECIALISTS LTD
2300 N EDWARD ST
DECATUR, IL 625264163
2178768121
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH AIRPORT RD
EAGLE BUTTE, SD 576251022
60596477240515
Source: CMS National Downloadable File, September 2026.