Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
NPI: 1669570461
Practice Locations (2)
SHOPTIKAL LLC
6000 MONONA DR, SUITE 101
MONONA, WI 537163329
6082229420
SHOPTIKAL LLC
2304 S MAIN ST, SUITE 9
RICE LAKE, WI 548682900
7152367906
Source: CMS National Downloadable File, September 2026.