Graduated: 1990
NPI: 1891916458
Practice Locations (2)
PRAIRIE RIDGE HEALTH INC
1515 PARK AVE
COLUMBUS, WI 539251618
9206232200
AURORA MEDICAL GROUP, INC.
9000 W SURA LN
GREENFIELD, WI 532283477
4142466800
Source: CMS National Downloadable File, September 2026.