Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2013
NPI: 1487995106
Practice Locations (2)
MCLAREN MACOMB
36500 S GRATIOT AVE, 102 MULTISPECIALTIES
CLINTON TOWNSHIP, MI 480351772
5867909003
NORTHEAST SURGICAL GROUP PC
17375 HALL RD
MACOMB, MI 480444060
5862280550
Source: CMS National Downloadable File, September 2026.