Graduated: 2007
NPI: 1588860373
Practice Locations (2)
8546 W GRAND RIVER AVE
BRIGHTON, MI 481162326
8103165077
WYANDOT MEMORIAL HOSPITAL
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 433511031
41929449912157
Source: CMS National Downloadable File, September 2026.