Graduated: 1976
NPI: 1609847896
Practice Locations (2)
WISCONSIN MICHIGAN PHYSICIANS SC
1323 LUDINGTON ST, SUITE B
ESCANABA, MI 498292845
8887246377
WISCONSIN MICHIGAN PHYSICIANS SC
10945 N PORT WASHINGTON RD, SUITE 100
MEQUON, WI 530925078
2624780301
Source: CMS National Downloadable File, September 2026.