Graduated: 2022
NPI: 1003693573
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
39450 W 12 MILE RD
NOVI, MI 483773600
2483448080
Source: CMS National Downloadable File, September 2026.