Graduated: 1987
NPI: 1407834112
Practice Locations (4)
AGNESIAN HEALTHCARE INC
480 E DIVISION ST
FOND DU LAC, WI 549353734
9209264100
FROEDTERT MANITOWOC MEDICAL GROUP, LLC
2300 WESTERN AVE
MANITOWOC, WI 542203712
9203202011
THE MONROE CLINIC, INC.
2009 5TH ST
MONROE, WI 535661546
6083242000
FROEDTERT MANITOWOC MEDICAL GROUP, LLC
1414 N TAYLOR DR
SHEBOYGAN, WI 530811988
9203202436
Source: CMS National Downloadable File, September 2026.