Graduated: 2024
NPI: 1508604786
Practice Locations (2)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
2400 W VILLARD AVE
MILWAUKEE, WI 532094901
4145275630
PROHEALTH MEDICAL GROUP INC
N16W24131 RIVERWOOD DR
WAUKESHA, WI 531881106
2626960808
Source: CMS National Downloadable File, September 2026.