Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1255382925
Practice Locations (2)
16TH STREET COMMUNITY HEALTH CENTER INC.
2906 S 20TH ST
MILWAUKEE, WI 532153732
4146721353
WISCONSIN COMMUNITY SERVICES INC
3734 W WISCONSIN AVE
MILWAUKEE, WI 532083153
4143446111
Source: CMS National Downloadable File, September 2026.