Graduated: 1993
NPI: 1124189642
Practice Locations (3)
265 WEALTHY ST SE
GRAND RAPIDS, MI 495035247
3537 W FRONT ST, SUITE F
TRAVERSE CITY, MI 496847943
2319358900
MARY FREE BED REHABILITATION HOSPITAL
550 MUNSON AVE
TRAVERSE CITY, MI 496863580
6168408186
Source: CMS National Downloadable File, September 2026.