Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1639217896
Practice Locations (2)
GRAND RIVER EMERGENCY MEDICAL GROUP PLC
2373 64TH ST SW, MERCY HEALTH ST MARY'S SOUTHWEST
BYRON CENTER, MI 493157974
6166853900
LAKE MICHIGAN OBSERVATION SERVICES PLLC
1500 E SHERMAN BLVD, MERCY HEALTH
MUSKEGON, MI 494441849
2317284601
Source: CMS National Downloadable File, September 2026.