Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1999
Offers telehealth
NPI: 1588607717
Practice Locations (2)
THEDACARE, INCORPORATED
1265 W AMERICAN DR, SUITE 100
NEENAH, WI 549561405
9208868979
WISCONSIN INSTITUTE OF UROLOGY SC
1265 W AMERICAN DR, SUITE 100
NEENAH, WI 549561405
9207227747
Source: CMS National Downloadable File, September 2026.