Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1991
NPI: 1003925033
Practice Locations (1)
PORT HURON PHYSICIANS MEDICAL GROUP PC
2609 ELECTRIC AVE B, LAKE HURON MED GRP
PORT HURON, MI 480606589
8109841148
Source: CMS National Downloadable File, September 2026.