Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1407982291
Practice Locations (2)
MYMICHIGAN MEDICAL CENTER MIDLAND
4000 WELLNESS DR
MIDLAND, MI 486702000
9896338018
CEP AMERICA LLC
800 S WASHINGTON AVE, VITUITY
SAGINAW, MI 486012551
9894973000
Source: CMS National Downloadable File, September 2026.