Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2008
Offers telehealth
NPI: 1063653798
Practice Locations (1)
MARY FREE BED REHABILITATION HOSPITAL
235 WEALTHY ST SE, 100 MARY FREE BED MED GP
GRAND RAPIDS, MI 495035229
6162420422
Source: CMS National Downloadable File, September 2026.