Graduated: 2009
NPI: 1245412733
Practice Locations (2)
LAKELAND COMMUNITY HOSPITAL WATERVLIET
2002 S 11TH ST
NILES, MI 491204074
2696870200
LAKELAND COMMUNITY HOSPITAL WATERVLIET
400 MEDICAL PARK DR
WATERVLIET, MI 490989225
2694633600
Source: CMS National Downloadable File, September 2026.