Graduated: 2002
NPI: 1629451125
Practice Locations (2)
GRAND RIVER EMERGENCY MEDICAL GROUP PLC
200 JEFFERSON AVE SE, MERCY HEALTH ST. MARY'S
GRAND RAPIDS, MI 495034502
6166855000
GRAND RIVER EMERGENCY MEDICAL GROUP PLC
6050 NORTHLAND DR NE, TRINITY HEALTH ST MARYS
ROCKFORD, MI 493419256
6166855000
Source: CMS National Downloadable File, September 2026.