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Doctors / WI
MAXILLOFACIAL SURGERY
Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Also: ORAL SURGERY
NPI: 1265587497
1203 8TH ST
BARABOO, WI 539131805
6083562112
Source: CMS National Downloadable File, September 2026.