Graduated: 1983
NPI: 1487608329
Practice Locations (4)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
13950 W CAPITOL DR
BROOKFIELD, WI 530052441
4143025400
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
10101 S 27TH ST
FRANKLIN, WI 531327209
4143254700
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
201 N MAYFAIR RD
WAUWATOSA, WI 532264216
COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC
801 S 70TH ST
WEST ALLIS, WI 532143147
4147736600
Source: CMS National Downloadable File, September 2026.