Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1998
Also: EMERGENCY MEDICINE
NPI: 1770662025
Practice Locations (4)
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
47901 SUGARBUSH RD
CHESTERFIELD, MI 480472243
5862107102
THEORIA MEDICAL
5655 CLARKSTON RD
CLARKSTON, MI 483483714
8106235216
THEORIA MEDICAL
10735 BOGIE LAKE RD
COMMERCE TOWNSHIP, MI 483822426
2483639400
MERIDIAN WELLNESS PLLC
2422 JOLLY RD, SUITE 100
OKEMOS, MI 488643690
5176189507
Source: CMS National Downloadable File, September 2026.