Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1993
Also: GENERAL SURGERY
NPI: 1366438798
Practice Locations (1)
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
1727 SHAWANO AVE
GREEN BAY, WI 543033268
9204964700
Source: CMS National Downloadable File, September 2026.