Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1295773596
Practice Locations (1)
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
N16W24131 RIVERWOOD DR
WAUKESHA, WI 531881106
6082639531
Source: CMS National Downloadable File, September 2026.