Graduated: 2021
NPI: 1104597665
Practice Locations (2)
LAKELAND COMMUNITY HOSPITAL WATERVLIET
6559 PAW PAW AVE
COLOMA, MI 490388805
2694633600
LAKELAND COMMUNITY HOSPITAL WATERVLIET
400 MEDICAL PARK DR
WATERVLIET, MI 490989225
2694633600
Source: CMS National Downloadable File, September 2026.