Graduated: 2013
NPI: 1164843850
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3139162600
PROMEDICA CENTRAL PHYSICIANS
2142 N COVE BLVD
TOLEDO, OH 436063895
4192914000
Source: CMS National Downloadable File, September 2026.