Graduated: 2004
NPI: 1942314190
Practice Locations (2)
ORTHOPEDIC AND SPINE THERAPY OF MENASHA SC
1 BANK AVE, SUITE C
KAUKAUNA, WI 541302582
9207599075
ORTHOPEDIC AND SPINE THERAPY OF LAKEWOOD, SC
17187 TWIN PINES RD
LAKEWOOD, WI 541389300
7152761767
Source: CMS National Downloadable File, September 2026.