Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1983
NPI: 1043260995
Practice Locations (2)
UPPER GREAT LAKES FAMILY HEALTH CENTER
135 E, M35
GWINN, MI 498419160
9063469275
UPPER GREAT LAKES FAMILY HEALTH CENTER
301 EXPLORER ST
GWINN, MI 498412813
9063464924
Source: CMS National Downloadable File, September 2026.