Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1669544508
Practice Locations (2)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
13950 W CAPITOL DR
BROOKFIELD, WI 530052441
4143025400
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
1292 CAPITOL DR
PEWAUKEE, WI 530722580
2627857700
Source: CMS National Downloadable File, September 2026.