This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MI
PHYSICIAN ASSISTANT
Graduated: 2024
NPI: 1912705807
PO BOX, SUITE 1608
GRAND RAPIDS, MI 49501
2211 119TH ST
FLUSHING, NY 113562515
Source: CMS National Downloadable File, September 2026.