Graduated: 2023
NPI: 1770264483
Practice Locations (3)
601 BOND AVE NW UNIT, SUITE 812
Grand Rapids, MI 495031493
5258 PLAINFIELD AVE NE
GRAND RAPIDS, MI 495251092
601 BOND AVE NW, UNIT 812
GRAND RAPIDS, MI 495031493
Source: CMS National Downloadable File, September 2026.