Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1053302414
Practice Locations (2)
NORTHWESTERN SERVICES LLC
30055 NORTHWESTERN HWY, SUITE L 60
FARMINGTON HILLS, MI 483343274
2482656555
WEST MICHIGAN AAS LLC
25500 MEADOWBROOK RD, SUITE 110
NOVI, MI 483751879
2484772200
Source: CMS National Downloadable File, September 2026.