Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1366584617
Practice Locations (2)
110 E 5TH AVE
ANTIGO, WI 544092706
1800 WESTWOOD CTR BLVD, SUITE 100
WAUSAU, WI 644012888
Source: CMS National Downloadable File, September 2026.