Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
Also: GENERAL SURGERY
NPI: 1154378404
Practice Locations (2)
100 MICHIGAN ST NE, MC 845
Grand Rapids, MI 495032560
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
Source: CMS National Downloadable File, September 2026.