Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1164615688
Practice Locations (1)
SPECTRUM HEALTH PRIMARY CARE PARTNERS
25 MICHIGAN ST NE, 6100 COREWELL HEALTH MEDICAL GROUP WEST
GRAND RAPIDS, MI 495032561
6162677900
Source: CMS National Downloadable File, September 2026.