Graduated: 2021
NPI: 1013671916
Practice Locations (2)
PROVIDERS TEK INC
4700 GREENFIELD RD, SUITE 2E
DEARBORN, MI 481264124
3137401111
W. A. FOOTE MEMORIAL HOSPITAL, INC.
205 N E AVE, HENRY FORD ALLEGIANCE HOSPITALIST SERVICES
JACKSON, MI 492011753
5172051328
Source: CMS National Downloadable File, September 2026.