Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1990
NPI: 1689780462
Practice Locations (4)
LAKESHORE MEDICAL CLINIC LLC
5900 S LAKE DR
CUDAHY, WI 531103171
4144894190
LAKESHORE MEDICAL CLINIC LLC
5900 S LAKE DR, FL 2
CUDAHY, WI 531103171
4144894522
ADVANTAGE PHYSICAL THERAPY AND SPORTS REHAB, LLC
7200 WASHINGTON AVE, SUITE 103
MOUNT PLEASANT, WI 534066516
2625830790
LAKESHORE MEDICAL CLINIC LLC
2000 E LAYTON AVE
SAINT FRANCIS, WI 532356053
4147446589
Source: CMS National Downloadable File, September 2026.