Graduated: 1995
NPI: 1194903708
Practice Locations (2)
ASCENSION MEDICAL GROUP PROMED
1521 GULL RD
KALAMAZOO, MI 490481640
2692265165
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
7342466000
Source: CMS National Downloadable File, September 2026.