Graduated: 1993
Offers telehealth
NPI: 1841277530
Practice Locations (3)
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
377 W RIVER WOODS PKWY, SUITE 201
GLENDALE, WI 532121088
4143236880
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
4848 S 76TH ST, SUITE 210
GREENFIELD, WI 532204361
4135842173
CLEANSLATE MEDICAL GROUP OF WISCONSIN SC
20611 WATERTOWN RD, SUITE E
WAUKESHA, WI 531861871
2629014450
Source: CMS National Downloadable File, September 2026.