Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1991
NPI: 1972505501
Practice Locations (3)
MCLAREN MACOMB
36500 S GRATIOT AVE
CLINTON TOWNSHIP, MI 480351772
MCLAREN MACOMB
37399 GARFIELD RD
CLINTON TOWNSHIP, MI 480363672
MCLAREN PORT HURON
1216 RICHARDSON ST
PORT HURON, MI 480603549
8109876218
Source: CMS National Downloadable File, September 2026.