Graduated: 1990
NPI: 1396460325
Practice Locations (2)
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
4000 N PROVIDENCE AVE
APPLETON, WI 549138018
9209680814
ORTHOPEDIC AND SPINE THERAPY OF NEW LONDON SC
315 E MAIN ST, SUITE 400
HORTONVILLE, WI 549449451
9207794441
Source: CMS National Downloadable File, September 2026.