Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1974
Also: INTERNAL MEDICINE
NPI: 1932174273
Practice Locations (3)
888 THACKERAY TRL, SUITE 212
OCONOMOWOC, WI 530664342
2625670247
123 HOSPITAL DR, 106B
WATERTOWN, WI 530983392
9202614143
123 HOSPITAL DR, SUITE 106B
WATERTOWN, WI 530983331
Source: CMS National Downloadable File, September 2026.