Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1619961273
Practice Locations (1)
ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC
2223 LIME KILN RD, SUITE 1
GREEN BAY, WI 543116238
9204308113
Source: CMS National Downloadable File, September 2026.