Graduated: 1978
NPI: 1306936414
Practice Locations (2)
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
13111 N PORT WASHINGTON RD
MEQUON, WI 530972416
2622437300
ADVANTAGE PHYSICAL THERAPY AND SPORTS REHAB, LLC
3840 N OAKLAND AVE
SHOREWOOD, WI 532112239
4192216717
Source: CMS National Downloadable File, September 2026.