Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2000
NPI: 1043235153
Practice Locations (2)
INDEPENDENT PHYSICIANS OF WISCONSIN LLC
4580 S NICHOLSON AVE
CUDAHY, WI 531101360
4143264800
ALLEN FAMILY MEDICINE SC
4580 S NICHOLSON AVE
CUDAHY, WI 531101360
4143264800
Source: CMS National Downloadable File, September 2026.