Graduated: 1994
NPI: 1477654366
Practice Locations (2)
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 495486927
6164555000
LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC
1234 NAPIER AVE, COREWELL HEALTH LAKELAND HOSPITALS
SAINT JOSEPH, MI 490852112
2699838300
Source: CMS National Downloadable File, September 2026.