Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1780624395
Practice Locations (3)
MENOMINEE INDIAN TRIBE OF WISCONSIN
W3275 WOLF RIVER DR
KESHENA, WI 541359202
7157993361
MENOMINEE INDIAN TRIBE OF WISCONSIN
W3275 WOLF RIVER RD, PO BOX 970
KESHENA, WI 541350970
MENOMINEE INDIAN TRIBE OF WISCONSIN
W3275 WOLF RIVER RD P O BOX, SUITE 970
KESHENA, WI 541350970
Source: CMS National Downloadable File, September 2026.