Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2016
NPI: 1083901425
Practice Locations (1)
MID MICHIGAN ORAL SURGERY PC
325 W LAKE LANSING RD
EAST LANSING, MI 488238524
5173379759
Source: CMS National Downloadable File, September 2026.