Graduated: 2018
NPI: 1558866079
Practice Locations (2)
LAKESHORE MEDICAL CLINIC LLC
3611 S CHICAGO AVE
S MILWAUKEE, WI 531723738
4147627270
AURORA MEDICAL GROUP, INC.
8905 W LINCOLN AVE
WEST ALLIS, WI 532272468
4143288480
Source: CMS National Downloadable File, September 2026.