Medical school: ILLINOIS MEDICAL COLLEGE
Graduated: 1981
NPI: 1053496067
Practice Locations (2)
10335 W OKLAHOMA AVE, SUITE 203
MILWAUKEE, WI 532274100
4145463100
2449 N DOWNER AVE
MILWAUKEE, WI 532114506
4149636151
Source: CMS National Downloadable File, September 2026.