Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1999
NPI: 1629156146
Practice Locations (3)
LAKESHORE MEDICAL CLINIC LLC
S68W15500 JANESVILLE RD
MUSKEGO, WI 531502613
4144224000
LAKESHORE MEDICAL CLINIC LLC
S74W16775 JANESVILLE RD
MUSKEGO, WI 531507742
4144224747
LAKESHORE MEDICAL CLINIC LLC
S74W16775 JANESVILLE RD, SUITE 130
MUSKEGO, WI 531507742
4144222180
Source: CMS National Downloadable File, September 2026.