Graduated: 1994
NPI: 1629078217
Practice Locations (3)
ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
2105 E ENTERPRISE AVE
APPLETON, WI 549137862
9205601000
ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
2105 E ENTERPRISE AVE, SUITE 112
APPLETON, WI 549137862
ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
402 EUREKA ST
RIPON, WI 549711103
9205601000
Source: CMS National Downloadable File, September 2026.