Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1990
Also: PAIN MANAGEMENT
Offers telehealth
NPI: 1316007867
Practice Locations (1)
2169 JOLLY RD, SUITE 2
OKEMOS, MI 488643992
5173478228
Source: CMS National Downloadable File, September 2026.