Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1922185990
Practice Locations (1)
ORTHOPEDIC AND SPORTS MEDICINE SPECIALISTS OF GREEN BAY SC
2223 LIME KILN RD, SUITE 1
GREEN BAY, WI 543116238
9204308113
Source: CMS National Downloadable File, September 2026.