| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1437146412 |
| License Number: | 25284 |
| License State: | WI |
| Medical School: | Mayo Med Sch, Rochester Mn 55905 |
| Residency Training: | Appleton Med Ctr, Family Medicine |
| Graduation Year: | 1982 |
| Certifications: | Family Practice; Occupational Medicine |