Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2023
NPI: 1043080716
Practice Locations (2)
SHORELINE SPORT AND SPINE PLLC
921 S BEECHTREE ST, SUITE 5
GRAND HAVEN, MI 494172385
6168420555
SHORELINE SPORT AND SPINE PLLC
18000 COVE ST
SPRING LAKE, MI 494561383
6168471280
Source: CMS National Downloadable File, September 2026.