SpecialtyOral & Maxillofacial Surgeon
LocationWausau, WI
NPI1720008402
License number5002121-015
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/09/2007). If this looks outdated, use "Report an issue" on this profile to suggest a correction.