Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1871586560
Practice Locations (1)
INDEPENDENT PHYSICIANS OF WISCONSIN LLC
6125 GREEN BAY RD, SUITE 600
KENOSHA, WI 531422928
8772871962
Source: CMS National Downloadable File, September 2026.