Graduated: 2007
NPI: 1821284951
Practice Locations (2)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
200 E RUSSELL RD, UNIT C
TECUMSEH, MI 492862072
5172639491
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
6869 S OCCIDENTAL RD
TECUMSEH, MI 492869784
5174234777
Source: CMS National Downloadable File, September 2026.