Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1164488458
Practice Locations (2)
KAUKAUNA CLINIC, S.C.
305 E 12TH ST
Kaukauna, WI 541302865
KAUKAUNA CLINIC, S.C.
305 E 12TH ST
KAUKAUNA, WI 541302865
9207664656
Source: CMS National Downloadable File, September 2026.