Immediate Appointments Available!

Clinic Providers

Dr. Joshua P June DO


 Dr. June was born in Pontiac Michigan, and has lived throughout the state including Flint, Bay City, Lansing, Grand Rapids, and Oak Park, with a brief stint in Chicago, Lakeland Florida and Rome New York. Dr. June knew he was to be in medicine since the age of five, and single mindedly made that dream happen by attending MSU for undergrad, and the College of Osteopathic Medicine afterwards. It wasn't until his second year of medical school that he decided on Rheumatology, (or it decided on him.)  Dr. June trained at Henry Ford Hospital for his 3rd, and 4th years of medical school, and went on to do an internal medicine residency at Metro Hospital in Grand Rapids area.   Aside from medicine, he enjoys Triathlon training, biking, swimming, running, etc.

Dr. Iyad Al-Shwaf MD


Dr. Al-Shwaf offers many years of knowledge and experience. He is Board Certified in Internal Medicine and Rheumatology and has been practicing for over 18 years. Dr. Al-Shwaf has practiced in a number of countries and has been successful with helping people on a global scale. His past experience includes being a Chairman of the Department of Medicine at the International Medical Center. A fun fact about him is he is fluent in both English and Arabic. In his free time Dr. Al-Shwaf enjoys spending time with his family along with practicing his religion. He is a membership of the American College of Rheumatology and the Arthritis Foundation. 

Tony Giannelli MsA PA-C


 Mr. Giannelli is a Board Certified Physician Assistant for over 36 years, with 18 years of Rheumatology experience. Mr. Giannelli is a graduate of Western Michigan University Physician Assistant Program, holds a Masters Degree in Medical Administration from Central Michigan University. Board Certified by the National Commission on Certification of Physician Assistants, is a Clinical Instructor at the Michigan State University College of Medicine, Department of Medical Specialities. Mr. Giannelli is President of the Society of Physician Assistants in Rheumatology, is a published author, and guest lecturer of the Rheumatology Lecture Series at the Western Michigan University Physician Assistant Program.   

Kevin Duffy PA-C


Mr. Duffy is a Board Certified Physician Assistant, and who has been practicing for over 20 years. Mr. Duffy is a graduate of the Western Michigan University Physician Assistant Program, and holds a Bachelor’s of Science Degree in Biochemistry from Michigan State University. Mr. Duffy is Board Certified by the National Commission of Certification Physician Assistants, has 15 years of experience as a Clinical Preceptor for students in Physician Assistant Programs from Western Michigan, Central Michigan, and Grand Valley State University, he also has 9 years of experience as a P.A. Clinical Instructor for residents, interns, and medical students in Michigan State University’s Surgical Residency Program. Mr. Duffy enjoys Michigan’s outdoor recreational activities, traveling, and feeding his inner foodie by indulging in new local restaurants.

Stefanie Clutten PA-C


 Mrs. Clutten is a Board Certified Physician Assistant. She is a 2009 graduate from the Wayne State University Physician Assistant program. She previously spent 8 years working in orthopedic surgery. She joins the practice with a vast knowledge of arthritis, joint health and intra articular joint injections. She resides in Lansing with her husband and two children. Her personal interests include travel, adventuring outdoors, trail running and fitness. 

Clinic Staff Directory

Front Office

Practice Manager: Mackenzie

Assistant Manager: Brooke

Patient Services: Carlene, RMA

Patient Services: Katie

Patient Services: Ryan

Medical Assistants

Clinical Supervisor: Jessie, RMA

Patty, RMA

Cheyenne, RMA

Isra, RMA

Lisa, RMA

Morgan, RMA

Auxiliary Services

Infusion Suite: 

Kasie, RMA

Amanda, RMA