Graduated: 2023
NPI: 1790309508
Practice Locations (2)
ST. ANN CENTER FOR INTERGENERATIONAL CARE INC
2801 E MORGAN AVE
MILWAUKEE, WI 532073771
LAKESHORE MEDICAL CLINIC LLC
2000 E LAYTON AVE
SAINT FRANCIS, WI 532356053
4147446589
Source: CMS National Downloadable File, September 2026.