Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1987
NPI: 1275524951
Practice Locations (1)
GRAND RAPIDS EAR NOSE AND THROAT CENTER PLLC
655 KENMOOR AVE SE A, GRAND RAPIDS ENT CENTER PLLC
GRAND RAPIDS, MI 495468622
6165751212
Source: CMS National Downloadable File, September 2026.