Graduated: 2019
NPI: 1902639610
Practice Locations (2)
ORTHOPEDIC AND SPINE THERAPY OF BRILLION, SC
544 FAIRWAY DR
BRILLION, WI 541101435
9207569340
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
1000 MIDWAY RD
MENASHA, WI 549521116
9207279878
Source: CMS National Downloadable File, September 2026.