Medical school: MICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduated: 1998
NPI: 1346293693
Practice Locations (3)
3621 S STATE ST
ANN ARBOR, MI 481081633
804 SERVICE RD, SUITE A109E
East Lansing, MI 488247015
804 SERVICE RD
EAST LANSING, MI 488247015
Source: CMS National Downloadable File, September 2026.