Graduated: 1999
NPI: 1154378172
Practice Locations (2)
42627 GARFIELD RD, SUITE 217
CLINTON TOWNSHIP, MI 480385032
58620327151001
LIFELINE MEDICAL CENTER
35200 DEQUINDRE RD
STERLING HEIGHTS, MI 483104837
8144080014
Source: CMS National Downloadable File, September 2026.