Graduated: 1999
NPI: 1972664340
Practice Locations (2)
LAKESHORE MEDICAL CLINIC LLC
5900 S LAKE DR
CUDAHY, WI 531103171
4144894190
AURORA MEDICAL GROUP, INC.
2900 W OKLAHOMA AVE
MILWAUKEE, WI 532154330
4146465410
Source: CMS National Downloadable File, September 2026.