Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2004
NPI: 1205029477
Practice Locations (3)
PORTAGE PHYSICIAN PRACTICES INC
500 CAMPUS DR
HANCOCK, MI 499301452
9064831060
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
200 ROWAN BLVD
GLASSBORO, NJ 080282260
8565820500
THEDACARE, INCORPORATED
130 2ND ST
NEENAH, WI 549562883
9207250077
Source: CMS National Downloadable File, September 2026.