Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
Also: CARDIOVASCULAR DISEASE (CARDIOLOGY)
NPI: 1124127162
Practice Locations (1)
ASCENSION MEDICAL GROUP PROMED
7901 ANGLING RD
PORTAGE, MI 490240714
2693248600
Source: CMS National Downloadable File, September 2026.