Graduated: 1982
Also: INTERNAL MEDICINE
NPI: 1679620918
Practice Locations (2)
INDEPENDENT PHYSICIANS OF WISCONSIN LLC
6125 GREEN BAY RD, SUITE 100
KENOSHA, WI 531422942
2625648636
6125 GREENBAY RD, SUITE 100
KENOSHA, WI 531422928
2625648636
Source: CMS National Downloadable File, September 2026.