Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1447276712
Practice Locations (1)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
3803 SPRING ST, SUITE 410
MOUNT PLEASANT, WI 534051660
2626878260
Source: CMS National Downloadable File, September 2026.