Graduated: 1984
NPI: 1023098597
Practice Locations (5)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
HENRY FORD HEALTH PROVIDENCE HOSPITAL
44000 W 12 MILE RD, 200 PROVIDENCE W OAKLAND INTERNAL MEDICINE
NOVI, MI 483772647
2483478191
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
Source: CMS National Downloadable File, September 2026.