Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1996
NPI: 1295705812
Practice Locations (1)
INTEGRATED VASCULAR VEIN CENTER OF MICHIGAN PC
600 HEALTH PARK BLVD, SUITE G
GRAND BLANC, MI 484392558
8106061660
Source: CMS National Downloadable File, September 2026.