Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1336123520
Practice Locations (1)
HIAWATHA COMMUNITY BEHAVIORAL HEALTH AUTHORITY
3865 S MACKINAC TRL
SAULT SAINTE MARIE, MI 497839286
9066322805
Source: CMS National Downloadable File, September 2026.