Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2011
NPI: 1467742577
Practice Locations (1)
BLUE WATER PAIN SPECIALISTS PC
21000 E 12 MILE RD, ST JOHN SURG CTR PROC
SAINT CLAIR SHORES, MI 480811116
5867530011
Source: CMS National Downloadable File, September 2026.