Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1083701361
Practice Locations (2)
DICKINSON COUNTY HEALTHCARE SYSTEM
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 498013637
9067741313
LAKE MICHIGAN OBSERVATION SERVICES PLLC
1500 E SHERMAN BLVD, MERCY HEALTH
MUSKEGON, MI 494441849
2317284601
Source: CMS National Downloadable File, September 2026.