Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2005
Offers telehealth
NPI: 1851517619
Practice Locations (1)
EDWARD W SPARROW HOSPITAL ASSOCIATION
1600 W GRAND RIVER AVE, 4 SMG OKEMOS
OKEMOS, MI 488642394
5173816880
Source: CMS National Downloadable File, September 2026.