Medical school: MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduated: 2010
NPI: 1861703365
Practice Locations (3)
220 W CAPITOL DR
Milwaukee, WI 532121185
220 W CAPITOL DR
MILWAUKEE, WI 532121185
220 W CAPITOL DR, ATTN CREDENTIALING
MILWAUKEE, WI 532121185
Source: CMS National Downloadable File, September 2026.