Graduated: 1999
NPI: 1265483721
Practice Locations (3)
ASCENSION MEDICAL GROUP PROMED
1722 SHAFFER ST
KALAMAZOO, MI 490481633
2693431555
ASCENSION MEDICAL GROUP PROMED
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 490481633
2693813963
ASCENSION MEDICAL GROUP PROMED
7901 ANGLING RD
PORTAGE, MI 490240714
Source: CMS National Downloadable File, September 2026.