Graduated: 2016
NPI: 1902354574
Practice Locations (2)
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
4000 N PROVIDENCE AVE
APPLETON, WI 549138018
9209680814
ORTHOPEDIC AND SPINE THERAPY OF CLINTONVILLE, SC
114 E GREEN TREE RD
CLINTONVILLE, WI 549291182
7158233336
Source: CMS National Downloadable File, September 2026.