Graduated: 2024
NPI: 1669289252
Practice Locations (2)
OTSEGO PHYSICIAN SERVICES PC
825 N CTR AVE
GAYLORD, MI 497351592
9897312100
NORTH MICHIGAN PHYSICIAN SERVICES PC
1100 E MICHGAN AVE
GRAYLING, MI 497381312
9893485461
Source: CMS National Downloadable File, September 2026.