Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1986
NPI: 1669423794
Practice Locations (1)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
5640 N ADRIAN HWY
ADRIAN, MI 492218318
4192914491
Source: CMS National Downloadable File, September 2026.