Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1974
NPI: 1043266992
Practice Locations (2)
FROEDTERT SOUTH INC
6308 8TH AVE
KENOSHA, WI 531435031
2627710073
ADVANTAGE PHYSICAL THERAPY AND SPORTS REHAB, LLC
9809 39TH AVE, SUITE 2
PLEASANT PRAIRIE, WI 531583733
2629255080
Source: CMS National Downloadable File, September 2026.