Graduated: 2003
NPI: 1346352325
Practice Locations (2)
ASCENSION MEDICAL GROUP PROMED
7901 ANGLING RD
PORTAGE, MI 490240714
ASCENSION MEDICAL GROUP PROMED
1555 E CHICAGO RD, STURGIS MEDICAL GROUP PRIMARY CARE
STURGIS, MI 490911993
2693813963
Source: CMS National Downloadable File, September 2026.