Graduated: 1993
NPI: 1891099131
Practice Locations (2)
TEAM REHABILITATION SERVICES LLC
45421 MARKETPLACE BLVD
CHESTERFIELD, MI 480513285
5869002110
PORT HURON NEUROLOGIC ASSOCIATES PC
3825 24TH AVE
FORT GRATIOT, MI 480594100
8109820100
Source: CMS National Downloadable File, September 2026.