Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1487638706
Practice Locations (1)
MILLENNIUM PHYSICIAN GROUP LLC
315 E OLYMPIA AVE, SUITE 223
PUNTA GORDA, FL 339503823
9412052600
Source: CMS National Downloadable File, September 2026.