Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1994
Also: FAMILY PRACTICE
NPI: 1962432658
Practice Locations (1)
FOREST COUNTY POTAWATOMI COMMUNITY
8201 MISH KO SWEN DR
CRANDON, WI 545208631
7154784300
Source: CMS National Downloadable File, September 2026.