Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2000
Also: FAMILY PRACTICE
NPI: 1356432660
Practice Locations (1)
AGNESIAN HEALTHCARE INC
620 W BROWN ST
WAUPUN, WI 539631702
9209264100
Source: CMS National Downloadable File, September 2026.