Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1023072493
Practice Locations (1)
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC
1234 NAPIER AVE, COREWELL HEALTH LAKELAND HOSPITALS
SAINT JOSEPH, MI 490852112
2699838300
Source: CMS National Downloadable File, September 2026.