Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1205885399
Practice Locations (1)
ASCENSION MICHIGAN-CMG
15055 22 MILE RD, SUITE 3
SHELBY TWP, MI 483154401
5865667100
Source: CMS National Downloadable File, September 2026.