Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1366436255
Practice Locations (2)
PENNOCK HOSPITAL
1005 W GREEN ST
HASTINGS, MI 490581725
PENNOCK HOSPITAL
1009 W GREEN ST, COREWELL HEALTH PENNOCK HOSPITAL
HASTINGS, MI 490581710
2699483129
Source: CMS National Downloadable File, September 2026.