Graduated: 1987
NPI: 1710079330
Practice Locations (4)
PIC INDIANA PC
1131 M 32
ALPENA, MI 497078222
9892501925
PIC INDIANA PC
25 COLUMBIA AVE E
BATTLE CREEK, MI 490153703
2694253017
PIC INDIANA PC
3220 W SILVER LAKE RD
FENTON, MI 484301374
8102087470
PIC INDIANA PC
1325 N W AVE
JACKSON, MI 492022050
5173952246
Source: CMS National Downloadable File, September 2026.