Graduated: 1996
NPI: 1336102979
Practice Locations (2)
GRAND TRAVERSE PHYSICIAN SERVICES PC
1105 6TH ST
TRAVERSE CITY, MI 496842345
2319355000
IHC HEALTH SERVICES INC
4401 HARRISON BLVD
OGDEN, UT 844033195
8013872800
Source: CMS National Downloadable File, September 2026.