Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1988
NPI: 1194832824
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF WAUKESHA, LTD
475 HARTWIG BLVD, SUITE 100
JOHNSON CREEK, WI 530389636
9206993730
Source: CMS National Downloadable File, September 2026.