Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1063517340
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.