Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2013
NPI: 1194045526
Practice Locations (2)
LEGACY FAMILY CARE PLLC
23800 ORCHARD LAKE RD, SUITE 202
FARMINGTON HILLS, MI 483362562
2489975964
S PARK-DAVIS HEALTHCARE
30880 BECK RD
NOVI, MI 483771000
2489260009
Source: CMS National Downloadable File, September 2026.