Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1801971403
Practice Locations (1)
916 WILLARD DR, SUITE 125E
GREEN BAY, WI 543040008
9206808087
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1801971403
916 WILLARD DR, SUITE 125E
GREEN BAY, WI 543040008
9206808087
Source: CMS National Downloadable File, September 2026.