Graduated: 2001
NPI: 1730217407
Practice Locations (2)
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
6163911774
SPECTRUM HEALTH HOSPITALS
100 MICHIGAN ST NORTHEAST, COREWELL HEALTH GRAND RAPIDS HOSPIT
GRAND RAPIDS, MI 495032560
6163911774
Source: CMS National Downloadable File, September 2026.