Graduated: 1997
NPI: 1366525990
Practice Locations (4)
FORT HEALTHCARE INC
611 SHERMAN AVE E
FORT ATKINSON, WI 535381960
9205681000
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
1111 HIGHLAND AVE
MADISON, WI 537052275
6082658731
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
600 HIGHLAND AVE
MADISON, WI 537920001
6082636400
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
6001 RESEARCH PARK BLVD
MADISON, WI 537191176
6082323171
Source: CMS National Downloadable File, September 2026.