Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1979
NPI: 1114975745
Practice Locations (1)
MSU HEALTH CARE INC.
4660 S HAGADORN RD, SUITE 410
EAST LANSING, MI 488236819
5173535053
Source: CMS National Downloadable File, September 2026.