Graduated: 2006
NPI: 1780768523
Practice Locations (3)
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
377 W RIVER WOODS PKWY, SUITE 201
GLENDALE, WI 532121088
4143236880
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
2635 HEMSTOCK ST
LA CROSSE, WI 546032350
8335054673
RICHLAND HOSPITAL
333 E 2ND ST
RICHLAND CENTER, WI 535811900
Source: CMS National Downloadable File, September 2026.