Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1326130725
Practice Locations (2)
3621 S STATE ST 700 KMS PL
ANN ARBOR, MI 481081633
3621 S STATE ST 700 KMS PL
ANN ARBOR, MI 481081652
Source: CMS National Downloadable File, September 2026.