Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1987
NPI: 1902973886
Practice Locations (2)
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
1701 LACEY ST
CAPE GIRARDEAU, MO 637015230
5733344822
MADONNA REHABILITATION HOSPITAL
5401 S ST
LINCOLN, NE 685062150
4024897102
Source: CMS National Downloadable File, September 2026.