Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1790732741
Practice Locations (3)
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 495486927
6164555000
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE, ATTN DIANE FENNEMA
GRAND RAPIDS, MI 495486927
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 SE 68TH ST
GRAND RAPIDS, MI 495486927
6164555000
Source: CMS National Downloadable File, September 2026.