Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1997
NPI: 1215939673
Practice Locations (3)
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
468 CADIEUX RD
GROSSE POINTE, MI 482301507
3134731000
21727 GREATER MACK AVE
SAINT CLAIR SHORES, MI 480802418
5867777260
Source: CMS National Downloadable File, September 2026.