Medical school: ILLINOIS MEDICAL COLLEGE
Graduated: 1989
NPI: 1831162668
Practice Locations (2)
PROHEALTH MEDICAL GROUP INC
240 MAPLE AVE
MUKWONAGO, WI 531498475
2629281900
PROHEALTH MEDICAL GROUP INC
N17W24100 RIVERWOOD DR
WAUKESHA, WI 531881127
2629284704
Source: CMS National Downloadable File, September 2026.