Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2003
NPI: 1174545891
Practice Locations (1)
PROHEALTH MEDICAL GROUP INC
S69W15472 JANESVILLE RD
MUSKEGO, WI 531509330
2629287000
Source: CMS National Downloadable File, September 2026.