Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1983
NPI: 1487622510
Practice Locations (2)
THEDACARE, INCORPORATED
820 E GRANT ST
APPLETON, WI 549113483
9208315050
BELLIN MEMORIAL HOSPITAL INC
704 S WEBSTER AVE, SUITE 1B
GREEN BAY, WI 543013528
9068637897
Source: CMS National Downloadable File, September 2026.