Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1989
NPI: 1578641155
Practice Locations (2)
LAKESHORE MEDICAL CLINIC LLC
5900 S LAKE DR
CUDAHY, WI 531103171
4144894190
AURORA MEDICAL GROUP, INC.
2424 S 90TH ST
WEST ALLIS, WI 532272455
4143288630
Source: CMS National Downloadable File, September 2026.