Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1821159138
Practice Locations (2)
COUNTY OF GREEN LAKE
571 COUNTY RD A
GREEN LAKE, WI 549418630
9202944070
JUNEAU COUNTY
200 HICKORY ST
MAUSTON, WI 53948
6088472400
Source: CMS National Downloadable File, September 2026.