Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1984
NPI: 1477548840
Practice Locations (2)
1000 E PARIS AVE SE, SUITE 210
GRAND RAPIDS, MI 495463680
6162853310
1000 E PARIS SE, SUITE 210
GRAND RAPIDS, MI 495463680
Source: CMS National Downloadable File, September 2026.