Graduated: 2004
NPI: 1407822323
Practice Locations (2)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
44201 DEQUINDRE RD, NSA OF MICHIGAN III PLLC
TROY, MI 480851117
2146870001
LONG LAKE ANESTHESIOLOGY CONSULTANTS PLC
4550 INVESTMENT DR, SUITE 100
TROY, MI 480986334
2482654600
Source: CMS National Downloadable File, September 2026.