Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1999
NPI: 1225109382
Practice Locations (3)
LAC COURTE OREILLES GOVERNING BOARD
9940 N COUNTY HWY K
HAYWARD, WI 548434277
7156385100
LA CLINICA DE LOS CAMPESINOS, INC
400 S TOWNLINE RD
Wautoma, WI 549826922
LA CLINICA DE LOS CAMPESINOS, INC
400 S TOWNLINE RD
WAUTOMA, WI 549826922
9207875514
Source: CMS National Downloadable File, September 2026.