Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1073962296
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
GREAT LAKES PHYSIATRISTS PC
25311 LITTLE MACK AVE, SUITE B
SAINT CLAIR SHORES, MI 480813301
5864982400111
Source: CMS National Downloadable File, September 2026.