Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2002
Also: PERIPHERAL VASCULAR DISEASE
NPI: 1104836113
Practice Locations (1)
2300 LINEVILLE RD, SUITE 201
GREEN BAY, WI 543138859
9203607035
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2002
Also: PERIPHERAL VASCULAR DISEASE
NPI: 1104836113
2300 LINEVILLE RD, SUITE 201
GREEN BAY, WI 543138859
9203607035
Source: CMS National Downloadable File, September 2026.