Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1194700963
Practice Locations (3)
ECS WESTERN MICHIGAN PC
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911680
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911774
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NORTHEAST, COREWELL HEALTH GRAND RAPIDS HOSPIT
GRAND RAPIDS, MI 495032560
6163911774
Source: CMS National Downloadable File, September 2026.