Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1975
NPI: 1700837721
Practice Locations (2)
7201 W SAGINAW, SUITE 215
LANSING, MI 489171127
7201 W SAGINAW HWY, SUITE 215
LANSING, MI 489171127
5173232583
Source: CMS National Downloadable File, September 2026.