Medical school: CENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1134794282
Practice Locations (1)
ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC
2288 N MERRITT CREEK LOOP, SUITE 100
COEUR D ALENE, ID 838144959
2082152284
Source: CMS National Downloadable File, September 2026.