Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1996
NPI: 1275540189
Practice Locations (2)
VISIONARY MEDICAL SERVICES, PC
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911730
ECS WESTERN MICHIGAN PC
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911680
Source: CMS National Downloadable File, September 2026.