Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1973
Also: INTERNAL MEDICINE
NPI: 1467480681
Practice Locations (1)
THEDACARE, INCORPORATED
200 THEDA CLARK MEDICAL PLZ, SUITE 240
NEENAH, WI 549562790
9207252070
Source: CMS National Downloadable File, September 2026.