Graduated: 1999
NPI: 1114077823
Practice Locations (4)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
6525 2ND AVE
DETROIT, MI 482023006
3139724200
HENRY FORD HEALTH SYSTEM
7800 W OUTER DR
DETROIT, MI 482353461
3135436200
HENRY FORD HEALTH SYSTEM
39450 W 12 MILE RD
NOVI, MI 483773600
2483446688
Source: CMS National Downloadable File, September 2026.