Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1912970781
Practice Locations (1)
PROHEALTH MEDICAL GROUP INC
S69W15472 JANESVILLE RD
MUSKEGO, WI 531509330
2629287000
Source: CMS National Downloadable File, September 2026.