Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1989
Offers telehealth
NPI: 1063452118
Practice Locations (2)
100 MICHIGAN ST NE
Grand Rapids, MI 495032560
100 MICHIGAN ST NE MC, SUITE 845
GRAND RAPIDS, MI 495032560
Source: CMS National Downloadable File, September 2026.