Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1205885787
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
ASCENSION MICHIGAN-CMG
15055 22 MILE RD, SUITE 3
SHELBY TWP, MI 483154401
5865667100
Source: CMS National Downloadable File, September 2026.