Graduated: 1999
NPI: 1255445680
Practice Locations (2)
ORTHOPEDIC AND SPINE THERAPY OF CLINTONVILLE, SC
114 E GREEN TREE RD
CLINTONVILLE, WI 549291182
7158233336
ORTHOPEDIC AND SPINE THERAPY OF LAKEWOOD, SC
17187 TWIN PINES RD
LAKEWOOD, WI 541389300
7152761767
Source: CMS National Downloadable File, September 2026.