Graduated: 2022
NPI: 1295463743
Practice Locations (2)
MADISON MEDICAL AFFILIATES INC
13133 N PORT WASHINGTON RD, SUITE G 18
MEQUON, WI 530972420
2622435000
PROHEALTH MEDICAL GROUP INC
N16W24131 RIVERWOOD DR
WAUKESHA, WI 531881106
2626960808
Source: CMS National Downloadable File, September 2026.