Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
Also: SPORTS MEDICINE
NPI: 1871546507
Practice Locations (1)
ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C
212 E GREEN BAY ST, SUITE B
SHAWANO, WI 541662472
9205601000
Source: CMS National Downloadable File, September 2026.