Graduated: 2022
NPI: 1356922215
Practice Locations (6)
PO BOX
LOS ANGELES, CA 90084
1 ZOTEC WAY
Carmel, IN 460320052
1501 W CHISHOLM ST
ALPENA, MI 497071401
1500 E MEDICAL CTR DR, B1 380 TAUBMAN CENTER SPC 5305
ANN ARBOR, MI 481095305
4000 WELLNESS DR
MIDLAND, MI 486702000
90 COURT ST
PLATTSBURGH, NY 129012733
Source: CMS National Downloadable File, September 2026.