Graduated: 2025
NPI: 1881565489
Practice Locations (3)
2222 E MICHIGAN AVE UNIT, SUITE 202
Lansing, MI 489123049
2222 E MICHIGAN AVE, UNIT 202
LANSING, MI 489123049
3181 SANDHILL RD
MASON, MI 488549425
Source: CMS National Downloadable File, September 2026.