Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1841208592
Practice Locations (2)
1777 AXTELL DR, SUITE 110
TROY, MI 480844489
2265 LIVERNOIS RD
TROY, MI 480831606
2486492430
Source: CMS National Downloadable File, September 2026.