Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1995
NPI: 1891740726
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 130
HAGERSTOWN, MD 217426799
3016654710
Source: CMS National Downloadable File, September 2026.