Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2000
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1215978028
Practice Locations (1)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3139162000
Source: CMS National Downloadable File, September 2026.