Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1988
NPI: 1003812926
Practice Locations (1)
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC
61 N SAINT JOSEPH AVE
NILES, MI 491202207
2694282795
Source: CMS National Downloadable File, September 2026.