Medical school: WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduated: 2001
NPI: 1922347111
Practice Locations (3)
16402 PICARDIE WAY
EAST LANSING, MI 488239237
1295 E GRAND RIVER RD, SUITE 67
WILLIAMSTON, MI 488959381
PO BOX, SUITE 67
WILLIAMSTON, MI 48895
Source: CMS National Downloadable File, September 2026.