Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
NPI: 1760698484
Practice Locations (1)
MYMICHIGAN MEDICAL CENTER SAULT
500 OSBORN BLVD
SAULT S MARIE, MI 497831822
9066354460
Source: CMS National Downloadable File, September 2026.