Graduated: 2006
NPI: 1841236460
Practice Locations (2)
NORTH MICHIGAN PHYSICIAN SERVICES PC
1100 E MICHGAN AVE
GRAYLING, MI 497381312
9893485461
GRAND TRAVERSE PHYSICIAN SERVICES PC
1105 6TH ST
TRAVERSE CITY, MI 496842345
2319355000
Source: CMS National Downloadable File, September 2026.