Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1986
NPI: 1396730958
Practice Locations (2)
RADIOLOGY WAUKESHA SC
725 AMERICAN AVE
WAUKESHA, WI 531885031
2629282400
PROHEALTH MEDICAL GROUP INC
725 AMERICAN AVE
WAUKESHA, WI 531885031
2629281000
Source: CMS National Downloadable File, September 2026.