Graduated: 2020
NPI: 1073141024
Practice Locations (3)
IEP OBSERVATION MEDICINE - JACKSON PLLC
205 N E AVE
JACKSON, MI 492011753
2485362127
INDEPENDENT OBSERVATION PHYSICIANS PLLC
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
INDEPENDENT EMERGENCY PHYSICIANS PC
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493331
Source: CMS National Downloadable File, September 2026.