Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1477580686
Practice Locations (1)
MADISON MEDICAL AFFILIATES INC
13133 N PORT WASHINGTON RD, SUITE G 18
MEQUON, WI 530972420
2622435000
Source: CMS National Downloadable File, September 2026.