Graduated: 1985
NPI: 1134184146
Practice Locations (4)
2006 HOGBACK RD, SUITE 5A
ANN ARBOR, MI 481059483
1 FORD PL
DETROIT, MI 482023067
1 FORD PL, SUITE 2E
DETROIT, MI 482023450
ONE FORD PLACE, 2E
DETROIT, MI 482023450
Source: CMS National Downloadable File, September 2026.