Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1986
NPI: 1598772105
Practice Locations (2)
4396 DIXIE HWY
WATERFORD, MI 483293564
4396 DIXIE HWY, SUITE 1
WATERFORD, MI 483293564
2486744141
Source: CMS National Downloadable File, September 2026.