Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1996
NPI: 1982613535
Practice Locations (1)
MYMICHIGAN MEDICAL CENTER MIDLAND
3009 N SAGINAW RD, MYMICHIGAN URGENT CARE MIDLAND
MIDLAND, MI 486404555
9896331350
Source: CMS National Downloadable File, September 2026.