Graduated: 1993
NPI: 1164460390
Practice Locations (2)
HENRY FORD MACOMB HOSPITAL CORPORATION
15855 19 MILE RD
CLINTON TOWNSHIP, MI 480383504
5862632300
HENRY FORD HEALTH ROCHESTER HOSPITAL
1101 W UNIVERSITY DR
ROCHESTER, MI 483071863
2486525000
Source: CMS National Downloadable File, September 2026.