Graduated: 2017
NPI: 1275042046
Practice Locations (3)
LAKELAND COMMUNITY HOSPITAL WATERVLIET
2002 S 11TH ST
NILES, MI 491204074
2696870200
LAKELAND MEDICAL PRACTICES
2680 S CLEVELAND AVE
SAINT JOSEPH, MI 490853002
2699826638
LAKELAND MEDICAL PRACTICES
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 490859151
Source: CMS National Downloadable File, September 2026.