Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1976
NPI: 1700832797
Practice Locations (2)
FROEDTERT SOUTH INC
6308 8TH AVE
KENOSHA, WI 531435031
2626535300
ADVANTAGE PHYSICAL THERAPY AND SPORTS REHAB, LLC
7137 236TH AVE, SUITE 101
SALEM, WI 531688975
2629255060
Source: CMS National Downloadable File, September 2026.