Graduated: 2001
NPI: 1831230531
Practice Locations (2)
FERRIS STATE UNIVERSITY
1124 S STATE ST
BIG RAPIDS, MI 493072256
FERRIS STATE UNIVERSITY
1124 S STATE ST, UNIVERSITY EYE CENTER
BIG RAPIDS, MI 493072256
2315912020
Source: CMS National Downloadable File, September 2026.