Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1986
NPI: 1386603413
Practice Locations (3)
8085 RIVERS AVE, SUITE 100
NORTH CHARLESTON, SC 294069239
PO BOX, 1017 BPS MANAGED CARE
GREENVILLE, TX 754031017
8200 SE 62ND ST
MERCER ISLAND, WA 980404919
Source: CMS National Downloadable File, September 2026.