Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2012
NPI: 1245594027
Practice Locations (1)
EDWARD W SPARROW HOSPITAL ASSOCIATION
3394 E JOLLY RD A, SMG ORTHOPEDICS AND SPORT MEDICINE
LANSING, MI 489108595
5173943200
Source: CMS National Downloadable File, September 2026.