Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2017
NPI: 1750875712
Practice Locations (2)
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
1260 AJIJAAK AVE
PETOSKEY, MI 497708330
2312421700
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
1260 AJIJAAK AVE
PETOSKEY, MI 497709252
Source: CMS National Downloadable File, September 2026.