Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1841266889
Practice Locations (3)
421 W EXCHANGE ST
FREEPORT, IL 610324008
7974 UW HEALTH CT
Middleton, WI 535625531
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Source: CMS National Downloadable File, September 2026.