Graduated: 2011
Offers telehealth
NPI: 1053616292
Practice Locations (2)
COUNTY OF MACOMB
25401 HARPER AVE
SAINT CLAIR SHORES, MI 480812240
5864666912
COUNTY OF MACOMB
6555 15 MILE RD
STERLING HEIGHTS, MI 483124511
5867838113
Source: CMS National Downloadable File, September 2026.