Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
Offers telehealth
NPI: 1649486044
Practice Locations (1)
ASCENSION MICHIGAN-CMG
20229 E 9 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 480801775
5862670200
Source: CMS National Downloadable File, September 2026.