Graduated: 2024
NPI: 1003624636
Practice Locations (2)
EATON RAPIDS MEDICAL CENTER
1500 S MAIN ST
EATON RAPIDS, MI 488271952
IEP URGENT CARE - JACKSON PLLC
1602 W MICHIGAN AVE
JACKSON, MI 492024003
2485362127
Source: CMS National Downloadable File, September 2026.