Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1972598340
Practice Locations (2)
GRAND RIVER EMERGENCY MEDICAL GROUP PLC
2373 64TH ST SW, MERCY HEALTH ST MARY'S SOUTHWEST
BYRON CENTER, MI 493157974
6166853900
GRAND RIVER EMERGENCY MEDICAL GROUP PLC
200 JEFFERSON AVE SE, MERCY HEALTH ST. MARY'S
GRAND RAPIDS, MI 495034502
6166855000
Source: CMS National Downloadable File, September 2026.