Graduated: 2022
NPI: 1598424418
Practice Locations (3)
IHP HOSPITAL MEDICINE - JACKSON PLLC
205 N E AVE
JACKSON, MI 492011753
2485362127
IEP OBSERVATION MEDICINE - JACKSON PLLC
205 N E AVE
JACKSON, MI 492011753
2485362127
IEP URGENT CARE - JACKSON PLLC
729 E MICHIGAN AVE
JACKSON, MI 492011625
5175393018
Source: CMS National Downloadable File, September 2026.