Graduated: 1986
NPI: 1174516488
Practice Locations (2)
INDEPENDENT PHYSICIANS OF WISCONSIN LLC
451 E ERIE ST
MILWAUKEE, WI 532026159
4142728482
VITA PHYSICAL THERAPY SC
451 E ERIE ST
MILWAUKEE, WI 532026159
4142728482
Source: CMS National Downloadable File, September 2026.