Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2004
NPI: 1902893050
Practice Locations (1)
GREAT LAKES BAY HEALTH CENTERS
1522 JANES AVE
SAGINAW, MI 486011819
9897550316
Source: CMS National Downloadable File, September 2026.