Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1174601298
Practice Locations (1)
FOX VALLEY PERINATOLOGY SC
200 THEDA CLARK MEDICAL PLZ, SUITE 270
NEENAH, WI 549562790
9207494000
Source: CMS National Downloadable File, September 2026.