Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1979
Offers telehealth
NPI: 1841200383
Practice Locations (1)
ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
3803 SPRING ST, SUITE 410
MOUNT PLEASANT, WI 534051660
2626878260
Source: CMS National Downloadable File, September 2026.