Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1962463141
Practice Locations (2)
ASCENSION MEDICAL GROUP PROMED
6565 W MAIN ST
KALAMAZOO, MI 490096114
2693817380
POWERBACK REHABILITATION LLC
3951 W MILHAM AVE
PORTAGE, MI 490241088
2694471689
Source: CMS National Downloadable File, September 2026.