Graduated: 1979
NPI: 1295837193
Practice Locations (3)
LAKESHORE MEDICAL CLINIC LLC
2000 E LAYTON AVE
SAINT FRANCIS, WI 532356053
4147446589
LAKESHORE MEDICAL CLINIC LLC
3611 S CHICAGO AVE
S MILWAUKEE, WI 531723738
4147627270
LAKESHORE MEDICAL CLINIC LLC
3611 S CHICAGO AVE, SUITE 120
SOUTH MILWAUKEE, WI 531723738
4147662440
Source: CMS National Downloadable File, September 2026.