Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1985
NPI: 1467494211
Practice Locations (2)
COUNTY OF OUTAGAMIE
320 S WALNUT ST
Appleton, WI 549115918
COUNTY OF OUTAGAMIE
320 S WALNUT ST
APPLETON, WI 549115918
9208321624
Source: CMS National Downloadable File, September 2026.