Graduated: 1981
NPI: 1639259237
Practice Locations (9)
1404 BRIDGE ST
CHARLEVOIX, MI 497202603
2315474662
14676 W UPRIGHT ST
CHARLEVOIX, MI 497201201
2315471005
615 PETOSKEY AVE
CHARLEVOIX, MI 497201291
2315472599
1728 S PENINSULA RD
EAST JORDAN, MI 497279410
2315362286
5520 KUZMICK RD
ELMIRA, MI 497309534
9897327389
825 N CTR ST
GAYLORD, MI 497351592
9897312131
1662 S OTSEGO AVE
GAYLORD, MI 497358379
9897326565
965 HAGER DR
PETOSKEY, MI 497708784
2313488498
4310 LEONARD ST NW, SUITE 103
WALKER, MI 495348447
Source: CMS National Downloadable File, September 2026.