Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1477573962
Practice Locations (2)
LAKELAND MEDICAL PRACTICES
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 490859151
LAKELAND MEDICAL PRACTICES
5515 CLEVELAND AVE
STEVENSVILLE, MI 491279670
Source: CMS National Downloadable File, September 2026.