Graduated: 2003
NPI: 1568425791
Practice Locations (3)
LAKESHORE MEDICAL CLINIC LLC
5900 S LAKE DR
CUDAHY, WI 531103171
4144894190
AURORA ADVANCED HEALTHCARE, INC.
975 PORT WASHINGTON RD, SUITE 110
GRAFTON, WI 530249201
2623298000
AURORA MEDICAL GROUP, INC.
2900 W OKLAHOMA AVE
MILWAUKEE, WI 532154330
4146465410
Source: CMS National Downloadable File, September 2026.