Graduated: 1997
NPI: 1225255300
Practice Locations (3)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
6773 W MAPLE RD
WEST BLOOMFIELD, MI 483223013
2486616100
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD
WEST BLOOMFIELD, MI 483223013
2486614100
Source: CMS National Downloadable File, September 2026.