Graduated: 1982
NPI: 1194762765
Practice Locations (2)
INDEPENDENT PHYSICIANS OF WISCONSIN LLC
5434 W CAPITOL DR, SUITE 3
MILWAUKEE, WI 532162298
4148750505
INDEPENDENT PHYSICIANS OF WISCONSIN LLC
136 N MAIN ST
THIENSVILLE, WI 530921606
Source: CMS National Downloadable File, September 2026.