Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1194790378
Practice Locations (3)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
4655 N PORT WASHINGTON RD, SUITE 100
GLENDALE, WI 532121070
4149617444
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
5000 W CHAMBERS ST
MILWAUKEE, WI 532101650
4144472569
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
201 N MAYFAIR RD
WAUWATOSA, WI 532264216
Source: CMS National Downloadable File, September 2026.