Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1993
NPI: 1265481204
Practice Locations (2)
PORTAGE PHYSICIAN PRACTICES INC
500 CAMPUS DR
HANCOCK, MI 499301452
PORTAGE PHYSICIAN PRACTICES INC
500 CAMPUS DR
HANCOCK, MI 499301569
Source: CMS National Downloadable File, September 2026.