Graduated: 2008
NPI: 1780949248
Practice Locations (2)
IEP URGENT CARE - JACKSON PLLC
1602 W MICHIGAN AVE
JACKSON, MI 492024003
2485362127
LEGACY PHYSICIAN GROUP PC
1540 LAKE LANSING RD, SUITE 203
LANSING, MI 489123757
5179136711
Source: CMS National Downloadable File, September 2026.