Graduated: 1988
NPI: 1043373343
Practice Locations (4)
5925 28TH ST SE, SUITE D
GRAND RAPIDS, MI 495466955
2314215213
3337 S AIRPORT RD W
TRAVERSE CITY, MI 496847927
2314215213
3337 S AIRPORT RD W, SUITE 2
TRAVERSE CITY, MI 496847927
3337 W S AIRPORT RD, SUITE 2
TRAVERSE CITY, MI 496847927
Source: CMS National Downloadable File, September 2026.