Graduated: 2005
NPI: 1083661466
Practice Locations (2)
SSM HEALTH CARE OF WISCONSIN INC
707 14TH ST
BARABOO, WI 539131539
6083561400
DIVINE SAVIOR HEALTHCARE INC
2817 NEW PINERY RD
PORTAGE, WI 539019240
6087424131
Source: CMS National Downloadable File, September 2026.