Graduated: 1993
NPI: 1275925323
Practice Locations (2)
SUPERIOR ACTIVE PARTNERS LLC
820 CARP RIVER LN, SUITE 2
ISHPEMING, MI 498493187
9062047400
MARQUETTE REHABILITATION AND SPORTS MEDICINE CENTER
1455 W FAIR AVE
MARQUETTE, MI 498552654
9062260574
Source: CMS National Downloadable File, September 2026.