Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1932180338
Practice Locations (1)
FOX VALLEY PATHOLOGISTS SC
130 2ND ST
NEENAH, WI 549562883
9207293000
Source: CMS National Downloadable File, September 2026.