Graduated: 2003
NPI: 1831174143
Practice Locations (4)
FROEDTERT MANITOWOC MEDICAL GROUP, LLC
1650 S 41ST ST
MANITOWOC, WI 542207316
9203202011
FROEDTERT MANITOWOC MEDICAL GROUP, LLC
1414 N TAYLOR DR
SHEBOYGAN, WI 530811988
9203202436
LAKESHORE COMMUNITY HEALTH CARE, INC
1721 SAEMANN AVE
SHEBOYGAN, WI 530812342
9207836633
LAKESHORE COMMUNITY HEALTH CARE, INC
819 KENTUCKY AVE
SHEBOYGAN, WI 530814954
9207836633
Source: CMS National Downloadable File, September 2026.