Graduated: 1995
NPI: 1053596387
Practice Locations (3)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3139162000
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD
WEST BLOOMFIELD, MI 483223013
2486614100
Source: CMS National Downloadable File, September 2026.