Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1986
NPI: 1528099884
Practice Locations (2)
100 MICHIGAN ST NE, MC 845
Grand Rapids, MI 495032560
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
Source: CMS National Downloadable File, September 2026.