Graduated: 2010
NPI: 1891013512
Practice Locations (3)
100 MICHIGAN ST NE MC, SUITE 845
Grand Rapids, MI 495032560
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
2221 LAKESIDE BLVD, SUITE 600
RICHARDSON, TX 750824358
Source: CMS National Downloadable File, September 2026.