Graduated: 2015
NPI: 1508223868
Practice Locations (3)
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
377 W RIVER WOODS PKWY, SUITE 201
GLENDALE, WI 532121088
4143236880
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
4848 S 76TH ST, SUITE 210
GREENFIELD, WI 532204361
4135842173
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
101 E MILWAUKEE ST, SUITE 315
JANESVILLE, WI 535453002
8335054673
Source: CMS National Downloadable File, September 2026.