Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1972552628
Practice Locations (2)
100 MICHIGAN AVE NE
GRAND RAPIDS, MI 495032560
PEDIATRIC OPHTHALMOLOGY PC
5050 CASCADE RD SE
GRAND RAPIDS, MI 495463707
6169570866
Source: CMS National Downloadable File, September 2026.