Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
Offers telehealth
NPI: 1912991944
Practice Locations (1)
WATERTOWN PHYSICIAN PRACTICES LLC
123 HOSPITAL DR, SUITE 110
WATERTOWN, WI 530983320
9202624800
Source: CMS National Downloadable File, September 2026.