Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1437133824
Practice Locations (2)
KAUKAUNA CLINIC, S.C.
305 E 12TH ST
KAUKAUNA, WI 541302865
9207664656
THEDACARE, INCORPORATED
600 N WESTHAVEN DR
OSHKOSH, WI 549046926
9202375000
Source: CMS National Downloadable File, September 2026.