Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1881632305
Practice Locations (1)
LAKE MICHIGAN OBSERVATION SERVICES PLLC
1500 E SHERMAN BLVD, MERCY HEALTH
MUSKEGON, MI 494441849
2317284601
Source: CMS National Downloadable File, September 2026.