Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1134111065
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
HENRY FORD PHYSICIAN PARTNERS
50505 SCHOENHERR RD, SUITE 300
SHELBY TWP, MI 483153141
5867265566
Source: CMS National Downloadable File, September 2026.