Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1971
NPI: 1467552901
Practice Locations (2)
413 KENWAY DR
LANSING, MI 489173040
6378 BISHOP RD
LANSING, MI 489116211
Source: CMS National Downloadable File, September 2026.