Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
NPI: 1538189154
Practice Locations (1)
GREAT LAKES EAR NOSE AND THROAT SPECIALISTS PC
1114 CHARLEVOIX AVE
PETOSKEY, MI 497709701
2314898151
Source: CMS National Downloadable File, September 2026.