Graduated: 2013
NPI: 1447690375
Practice Locations (2)
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
N5241 US HWY
Watersmeet, MI 499690009
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
N5241 US HWY
WATERSMEET, MI 499690009
9063584588
Source: CMS National Downloadable File, September 2026.