Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2005
Offers telehealth
NPI: 1841419421
Practice Locations (2)
PROMEDICA CENTRAL CORPORATION OF MICHIGAN
901 KIMOLE LN, SUITE A1
ADRIAN, MI 492211491
5172640590
LIFE IV THERAPY PLLC
5433 S OCCIDENTAL RD
TECUMSEH, MI 492869782
5172733210
Source: CMS National Downloadable File, September 2026.