Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1588648158
Practice Locations (2)
1005 CHARLEVOIX DR, SUITE 100
GRAND LEDGE, MI 488372278
1005 CHARLEVOIX DR, SUITE 100
GRAND LEDGE, MI 488378186
Source: CMS National Downloadable File, September 2026.