Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1396883005
Practice Locations (1)
HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
2400 MARSHALL ST, SUITE A
WAUSAU, WI 544036738
7158484600
Source: CMS National Downloadable File, September 2026.