Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1508881616
Practice Locations (2)
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911774
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NORTHEAST, COREWELL HEALTH GRAND RAPIDS HOSPIT
GRAND RAPIDS, MI 495032560
6163911774
Source: CMS National Downloadable File, September 2026.