Graduated: 2020
NPI: 1750024006
Practice Locations (2)
MEDSTAR MEDICAL GROUP II LLC
110 IRVING ST NW
WASHINGTON, DC 200103017
2028777000
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
1 S PARK ST
MADISON, WI 537151375
6082872000
Source: CMS National Downloadable File, September 2026.