Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1104209659
Practice Locations (3)
IEP OBSERVATION MEDICINE - JACKSON PLLC
205 N E AVE
JACKSON, MI 492011753
2485362127
INDEPENDENT EMERGENCY PHYSICIANS PC
205 N E AVE, ALLEGIANCE HEALTH HOSPITAL
JACKSON, MI 492011753
5177884811
INDEPENDENT OBSERVATION PHYSICIANS PLLC
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
Source: CMS National Downloadable File, September 2026.