Graduated: 2017
NPI: 1336677004
Practice Locations (3)
8523 WINTERGREEN ST
Lansing, MI 489178800
7201 W SAGINAW HWY, SUITE 110
LANSING, MI 489171127
5178995843
8523 WINTERGREEN ST
LANSING, MI 489178800
5178995843
Source: CMS National Downloadable File, September 2026.