Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1986
NPI: 1770687089
Practice Locations (2)
2947 RUSSELL RD
MUSKEGON, MI 494458598
2317331989
2947 RUSSELL RD
NORTH MUSKEGON, MI 494458598
Source: CMS National Downloadable File, September 2026.