Graduated: 2007
NPI: 1982861183
Practice Locations (2)
ATHLETICO LTD
1801 W MAUMEE ST, SUITE 125
ADRIAN, MI 492211397
5172646141
ATHLETICO LTD
1595 W LAKE LANSING RD, SUITE 130
EAST LANSING, MI 488231317
5173336692
Source: CMS National Downloadable File, September 2026.