Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1669496600
Practice Locations (2)
8865 W 400
MICHIGAN CITY, IN 463609222
2694294263
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 490859151
2694294263
Source: CMS National Downloadable File, September 2026.