Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1998
NPI: 1003985284
Practice Locations (2)
PRAIRIE RIDGE HEALTH INC
1515 PARK AVE
COLUMBUS, WI 539251618
9206232200
SAUK PRAIRIE HEALTHCARE INC
260 26TH ST
PRAIRIE DU SAC, WI 535782203
6086437574
Source: CMS National Downloadable File, September 2026.