Graduated: 2009
NPI: 1063724813
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3138762454
LAKELAND MEDICAL PRACTICES
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 491202203
2696870808
Source: CMS National Downloadable File, September 2026.