Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2019
NPI: 1174083232
Practice Locations (2)
PROHEALTH MEDICAL GROUP INC
1185 CORPORATE CTR DR, SUITE 175
OCONOMOWOC, WI 530664889
2629288400
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
201 N MAYFAIR RD
WAUWATOSA, WI 532264216
4142597361
Source: CMS National Downloadable File, September 2026.