This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MI
NURSE PRACTITIONER
Graduated: 2025
NPI: 1104795004
10 W SQUARE LAKE RD, SUITE 103
BLOOMFIELD HILLS, MI 483020466
11018 NATURE WAY
SHELBY TOWNSHIP, MI 483171843
Source: CMS National Downloadable File, September 2026.