Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1255392361
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
ASCENSION MICHIGAN-CMG
64580 VAN DYKE RD, SUITE C
WASHINGTON TOWNSHIP, MI 480952811
5867529629
Source: CMS National Downloadable File, September 2026.