Graduated: 1982
NPI: 1134170384
Practice Locations (5)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY, SUITE 30
FARMINGTON HILLS, MI 483343230
2488654030
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
PREMIER THERAPY CENTERS, INC
33010 NORTHWESTERN HWY
WEST BLOOMFIELD, MI 483223634
Source: CMS National Downloadable File, September 2026.