Medical school: UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
Graduated: 1993
Also: ORAL SURGERY
NPI: 1952361594
Practice Locations (1)
KALAMAZOO ORAL AND MAXILLOFACIAL SURGERY PC
3801 GLENKERRY CT, SUITE 2
PORTAGE, MI 490240711
2693231527
Source: CMS National Downloadable File, September 2026.