Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1997
NPI: 1629034244
Practice Locations (1)
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
2880 MISSION DR
SHELBYVILLE, MI 493449580
2693971760
Source: CMS National Downloadable File, September 2026.