Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1013984236
Practice Locations (8)
UNIVERSITY PHYSICIAN GROUP
3980 JOHN R ST
DETROIT, MI 482012018
3137458040
UNIVERSITY PHYSICIAN GROUP
3990 JOHN R ST
DETROIT, MI 482012018
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE
DETROIT, MI 482012136
3134489006
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE, SUITE 2
DETROIT, MI 482012136
3134489006
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE 2, DETROIT MACK HEALTH CENTER
DETROIT, MI 482012136
3134489006
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE 2 WEST-CREDENTIALING DEPT
DETROIT, MI 482012136
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R ST
DETROIT, MI 482012013
8005276266
UNIVERSITY PHYSICIAN GROUP
6071 W OUTER DR
DETROIT, MI 482352624
Source: CMS National Downloadable File, September 2026.