Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2005
NPI: 1871705129
Practice Locations (2)
SOUTH LYON FAMILY DOCS PC
26006 PONTIAC TRL
South Lyon, MI 481788050
SOUTH LYON FAMILY DOCS PC
26006 PONTIAC TRL
SOUTH LYON, MI 481788050
2484375613
Source: CMS National Downloadable File, September 2026.