Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2017
NPI: 1780112144
Practice Locations (2)
LAKELAND COMMUNITY HOSPITAL WATERVLIET
2002 S 11TH ST
NILES, MI 491204074
2696870200
LAKELAND MEDICAL PRACTICES
2680 S CLEVELAND AVE
SAINT JOSEPH, MI 490853002
2699823368
Source: CMS National Downloadable File, September 2026.