Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1083690796
Practice Locations (1)
HENRY FORD HEALTH ST. JOHN HOSPITAL
19251 MACK AVE, SUITE 333
GROSSE POINTE WOODS, MI 482362898
3133437280
Source: CMS National Downloadable File, September 2026.