Graduated: 2000
NPI: 1477893105
Practice Locations (2)
THEORIA MEDICAL
1390 MAPLE DR
FAIRVIEW, MI 486218703
2486601220
COMPLEXCARE MEDICAL GROUP MIDWEST H PLLC
703 ROBINSON RD
JACKSON, MI 492032538
5177875140
Source: CMS National Downloadable File, September 2026.