Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1528081460
Practice Locations (5)
MERCY HEALTH SYSTEM CORPORATION
875 S ROUTE 31
CRYSTAL LAKE, IL 600148190
7792205500
ROCKFORD HEALTH PHYSICIANS
8201 E RIVERSIDE BLVD
ROCKFORD, IL 611142300
8159712000
MSU HEALTH CARE INC.
4650 S HAGADORN RD, SUITE 100
EAST LANSING, MI 488235386
5173534830
MSU HEALTH CARE INC.
4660 S HAGADORN RD
EAST LANSING, MI 488235353
MSU HEALTH CARE INC.
4660 S HAGADORN RD, SUITE 500
EAST LANSING, MI 488236804
5178844554
Source: CMS National Downloadable File, September 2026.