Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1995
NPI: 1730116732
Practice Locations (2)
3335 S AIRPORT RD W, 7B
TRAVERSE CITY, MI 496844156
3335 S AIRPORT RD W, SUITE 7B
TRAVERSE CITY, MI 496847928
2319472270
Source: CMS National Downloadable File, September 2026.