Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1977
NPI: 1093715856
Practice Locations (2)
16TH STREET COMMUNITY HEALTH CENTER INC.
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 532042203
4146721353
16TH STREET COMMUNITY HEALTH CENTER INC.
2906 S 20TH ST
MILWAUKEE, WI 532153732
4146721353
Source: CMS National Downloadable File, September 2026.