Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1987
NPI: 1144398934
Practice Locations (2)
FENTON FAMILY MEDICINE PC
425 N FENWAY DR, SUITE B
FENTON, MI 484303810
8107506060
FENTON FAMILY MEDICINE PC
445 N FENWAY DR
FENTON, MI 484302666
8107506060
Source: CMS National Downloadable File, September 2026.