Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1063466837
Practice Locations (1)
MYMICHIGAN MEDICAL CENTER MIDLAND
3009 N SAGINAW RD, MYMICHIGAN URGENT CARE MIDLAND
MIDLAND, MI 486404555
9896331350
Source: CMS National Downloadable File, September 2026.