Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1992
NPI: 1083793954
Practice Locations (2)
LAKESHORE MEDICAL CLINIC LLC
4448 W LOOMIS RD
GREENFIELD, WI 532204800
4142815150
LAKESHORE MEDICAL CLINIC LLC
2000 E LAYTON AVE
SAINT FRANCIS, WI 532356053
4147446589
Source: CMS National Downloadable File, September 2026.