Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
NPI: 1043228653
Practice Locations (1)
MSU HEALTH CARE INC.
4660 S HAGADORN RD, SUITE 500
EAST LANSING, MI 488236804
5174326144
Source: CMS National Downloadable File, September 2026.