Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1790234011
Practice Locations (2)
LAKESHORE SURGERY ANESTHESIA BILLING
4190 24TH AVE
FORT GRATIOT, MI 480593882
8102164300
ASA STAFFING INC
1221 PINE GROVE AVE
PORT HURON, MI 480603511
8109875000
Source: CMS National Downloadable File, September 2026.