Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1994
Offers telehealth
NPI: 1104902063
Practice Locations (1)
HENRY FORD HEALTH ST. JOHN HOSPITAL
22301 FOSTER WINTER DR 200 SE, SJHMC NEWLAND MEDICAL ASSOCIATES
SOUTHFIELD, MI 480753707
2485520620
Source: CMS National Downloadable File, September 2026.