Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2016
NPI: 1437506268
Practice Locations (1)
VITUITY-WISCONSIN EM SC
835 S VAN BUREN ST
GREEN BAY, WI 543013526
9204330111
Source: CMS National Downloadable File, September 2026.