Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1710079074
Practice Locations (2)
INDEPENDENT OBSERVATION PHYSICIANS PLLC
205 N E AVE
JACKSON, MI 492011753
5172054800
INDEPENDENT EMERGENCY PHYSICIANS PC
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493331
Source: CMS National Downloadable File, September 2026.