Graduated: 1992
NPI: 1124137104
Practice Locations (3)
W. A. FOOTE MEMORIAL HOSPITAL, INC.
205 N E AVE
JACKSON, MI 492011753
5172054800
KETTERING INDEPENDENT MEDICAL GROUP INC
7700 WASHINGTON VILLAGE DR, SUITE 130
CENTERVILLE, OH 454594094
9375310195
HEALTHTEXAS PROVIDER NETWORK
2460 N IH 35 E, 225 BAYLOR SCOTT AND WHITE ORTHOPEDIC SPECIAL
WAXAHACHIE, TX 751655273
4698009790
Source: CMS National Downloadable File, September 2026.