Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1995
NPI: 1164594016
Practice Locations (2)
PRESBYTERIAN HOMES OF WISCONSIN INC
222 PARK PL
WAUKESHA, WI 531864858
6516316570
PROHEALTH MEDICAL GROUP INC
717 W MORELAND BLVD
WAUKESHA, WI 531882432
2625429100
Source: CMS National Downloadable File, September 2026.