Graduated: 2017
NPI: 1134409824
Practice Locations (2)
AGNESIAN HEALTHCARE INC
620 W BROWN ST
WAUPUN, WI 539631702
9203246531
WISCONSIN SPINE AND PAIN SC
1000 GATEWAY CT, SUITE 100
WEST BEND, WI 530958541
4144551153
Source: CMS National Downloadable File, September 2026.