Graduated: 2010
NPI: 1194030445
Practice Locations (2)
LAC COURTE OREILLES GOVERNING BOARD
9940 N COUNTY HWY K
HAYWARD, WI 548434277
7156385100
ST. CROIX TRIBAL COUNCIL
4404 STATE RD, SUITE 70
WEBSTER, WI 548939251
7153498554
Source: CMS National Downloadable File, September 2026.