Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1386635969
Practice Locations (1)
GRAND RAPIDS EAR NOSE AND THROAT CENTER PLLC
655 KENMOOR AVE SE A, GRAND RAPIDS ENT CENTER PLLC
GRAND RAPIDS, MI 495468622
6165751212
Source: CMS National Downloadable File, September 2026.