Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1104870963
Practice Locations (3)
1200 6TH ST, SUITE 400
Traverse City, MI 496842369
1105 6TH ST
TRAVERSE CITY, MI 496842386
1200 6TH ST
TRAVERSE CITY, MI 496842369
Source: CMS National Downloadable File, September 2026.