Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1508025347
Practice Locations (2)
FOREST COUNTY POTAWATOMI COMMUNITY
8201 MISH KO SWEN DR
Crandon, WI 545208631
FOREST COUNTY POTAWATOMI COMMUNITY
8201 MISH KO SWEN DR
CRANDON, WI 545208631
7154784300
Source: CMS National Downloadable File, September 2026.