Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1993
Offers telehealth
NPI: 1174515779
Practice Locations (2)
HENRY FORD HEALTH ST. JOHN HOSPITAL
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
HENRY FORD HEALTH ST. JOHN HOSPITAL
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 480803200
5867772050
Source: CMS National Downloadable File, September 2026.