Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1996
NPI: 1992778807
Practice Locations (1)
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
829 N CTR AVE, 210 MHC OMH MED. GROUP FAMILY PRACTICE
GAYLORD, MI 497351599
9897317860
Source: CMS National Downloadable File, September 2026.