Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1831298223
Practice Locations (2)
2330 S MILFORD RD, SUITE 120
HIGHLAND, MI 483574982
2483549914
GRANDE RONDE HOSPITAL INC
900 SUNSET DR
LA GRANDE, OR 978501387
5419638421
Source: CMS National Downloadable File, September 2026.