Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1972528677
Practice Locations (3)
W359N5002 BROWN ST, SUITE 208
OCONOMOWOC, WI 530663366
1111 DELAFIELD ST, SUITE 311
WAUKESHA, WI 531883407
725 AMERICAN AVE
WAUKESHA, WI 531885099
Source: CMS National Downloadable File, September 2026.