Graduated: 1995
NPI: 1104804731
Practice Locations (2)
GREAT LAKES BAY HEALTH CENTERS
804 S HAMILTON ST, GREAT LAKES BAY HEALTH CENTERS OLD
SAGINAW, MI 486021516
9899215372
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD
WEST BLOOMFIELD, MI 483223013
2486614100
Source: CMS National Downloadable File, September 2026.