Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1991
NPI: 1881611465
Practice Locations (2)
SPARROW EATON HOSPITAL
123 LANSING ST, SUITE 2
CHARLOTTE, MI 488131696
5175439500
POWERBACK REHABILITATION LLC
5025 ANN ARBOR RD
JACKSON, MI 492018801
5178791505
Source: CMS National Downloadable File, September 2026.