Graduated: 1991
NPI: 1275505190
Practice Locations (2)
WISCONSIN MICHIGAN PHYSICIANS SC
1323 LUDINGTON ST, SUITE B
ESCANABA, MI 498292845
8887246377
WISCONSIN MICHIGAN PHYSICIANS SC
1601 ROOSEVELT RD
NIAGARA, WI 541511043
8887246377
Source: CMS National Downloadable File, September 2026.