Medical school: CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1780203901
Practice Locations (2)
LAKESHORE MEDICAL CLINIC LLC
5900 S LAKE DR
CUDAHY, WI 531103171
4144894190
AURORA MEDICAL GROUP, INC.
3400 UNION AVE
SHEBOYGAN, WI 530818426
9208282530
Source: CMS National Downloadable File, September 2026.