Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1997
Also: HAND SURGERY
NPI: 1790754810
Practice Locations (2)
FOREST COUNTY POTAWATOMI COMMUNITY
8201 MISH KO SWEN DR
CRANDON, WI 545208631
7154784300
THEDACARE, INCORPORATED
130 2ND ST
NEENAH, WI 549562883
9207250077
Source: CMS National Downloadable File, September 2026.