Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2011
NPI: 1154617603
Practice Locations (3)
PORTAGE PHYSICIAN PRACTICES INC
500 CAMPUS DR
HANCOCK, MI 499301452
PORTAGE PHYSICIAN PRACTICES INC
500 CAMPUS DR
HANCOCK, MI 499301569
ASPIRUS KEWEENAW
205 OSCEOLA ST
LAURIUM, MI 499132134
9063373100
Source: CMS National Downloadable File, September 2026.