Graduated: 2000
NPI: 1245458918
Practice Locations (2)
DPT HOLDINGS LLC
10320 75TH ST, SUITE D
KENOSHA, WI 531427525
8009744378
MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL, LLC
11415 W BURLEIGH ST, SUITE 109
WAUWATOSA, WI 532223217
4142399547
Source: CMS National Downloadable File, September 2026.