Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1043366842
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
3370 E JEFFERSON AVE
DETROIT, MI 482074236
3136561600
THEORIA MEDICAL
1390 MAPLE DR
FAIRVIEW, MI 486218703
2486601220
Source: CMS National Downloadable File, September 2026.