Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1003973272
Practice Locations (1)
PREMIER PHYSICAL MEDICINE AND REHABILITATION OF MICHIGAN PC
3601 W 13 MILE RD, BEAUMONT HOSPITAL
ROYAL OAK, MI 480736712
2488091227
Source: CMS National Downloadable File, September 2026.