Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2016
Offers telehealth
NPI: 1063861706
Practice Locations (2)
FOREST COUNTY POTAWATOMI COMMUNITY
8201 MISH KO SWEN DR
CRANDON, WI 545208631
7154784300
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
2977 COUNTY HWY CX
PORTAGE, WI 53901
6087423004
Source: CMS National Downloadable File, September 2026.