Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2013
NPI: 1972949220
Practice Locations (2)
UWH OF MICHIGAN PLC
1560 TURF LN
EAST LANSING, MI 488236392
5174843000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY 235
FARMINGTON HILLS, MI 483343282
2487374600
Source: CMS National Downloadable File, September 2026.