Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1984
NPI: 1942249727
Practice Locations (2)
LAKELAND MEDICAL PRACTICES
42 N SAINT JOSEPH AVE, SUITE 304
NILES, MI 491202203
2694284411
ST ALEXIUS MEDICAL CENTER
900 E BROADWAY AVE
BISMARCK, ND 585014520
7015307000
Source: CMS National Downloadable File, September 2026.