Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1003815465
Practice Locations (2)
905 N MACOMB ST, SUITE 4
MONROE, MI 481623076
905 N MACOMB ST, SUITE 4
MONROE, MI 481623076
7342426161
Source: CMS National Downloadable File, September 2026.