Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1996
Offers telehealth
NPI: 1457329526
Practice Locations (1)
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
1620 MEHTA LN
FORT ATKINSON, WI 535389178
9205635544
Source: CMS National Downloadable File, September 2026.