Graduated: 2020
NPI: 1184499683
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
9100 BROMBACH ST
HAMTRAMCK, MI 482123473
3139729000
Source: CMS National Downloadable File, September 2026.