Graduated: 2019
NPI: 1891279956
Practice Locations (3)
AGE MANAGEMENT OF WEST MICHIGAN PC
1959 E PARIS AVE SE
GRAND RAPIDS, MI 495466272
6168082695
TOTAL EXTENDED CARE SERVICES PC
18312 MIDDLEBELT RD
LIVONIA, MI 481525007
2484269944
THEORIA MEDICAL
425 E ELM ST
WAYLAND, MI 493481109
2697922249
Source: CMS National Downloadable File, September 2026.