Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1144238593
Practice Locations (2)
3601 W 13 MILE RD, BEAUMONT ROYAL OAK
ROYAL OAK, MI 480736712
2488985000
1777 AXTELL DR, SUITE 200
TROY, MI 480844435
2486437374
Source: CMS National Downloadable File, September 2026.