Medical school: WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduated: 2009
NPI: 1780912626
Practice Locations (2)
COUNTY OF INGHAM
1115 S PENNSYLVANIA AVE
LANSING, MI 489121671
COUNTY OF INGHAM
2316 S CEDAR ST
LANSING, MI 489103152
5178874302
Source: CMS National Downloadable File, September 2026.