Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1083633911
Practice Locations (2)
1450 E VALLEY RD UNIT, 102 MIDVALLEY FAMILY PRACTICE
BASALT, CO 816218352
7349530990
14555 LEVAN RD, SUITE 206
LIVONIA, MI 481545085
7349530990
Source: CMS National Downloadable File, September 2026.