Graduated: 2018
NPI: 1386157915
Practice Locations (2)
ASCENSION MEDICAL GROUP PROMED
1521 GULL RD
KALAMAZOO, MI 490481640
2692265165
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVE
SAINT JOSEPH, MI 490852112
2699838300
Source: CMS National Downloadable File, September 2026.