Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1336101740
Practice Locations (1)
OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN PLC
4070 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 495468294
6168882948
Source: CMS National Downloadable File, September 2026.