Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1988
Offers telehealth
NPI: 1386608966
Practice Locations (1)
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
250 26TH ST, SUITE 120
PRAIRIE DU SAC, WI 535782205
6086436060
Source: CMS National Downloadable File, September 2026.