Graduated: 2011
NPI: 1992064497
Practice Locations (2)
LAKELAND COMMUNITY HOSPITAL WATERVLIET
6559 PAW PAW AVE
COLOMA, MI 490388805
2694633600
LAKELAND MEDICAL PRACTICES
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 490859151
2694290900
Source: CMS National Downloadable File, September 2026.