Graduated: 2022
NPI: 1265165120
Practice Locations (2)
HENRY FORD HEALTH ST. JOHN HOSPITAL
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
Source: CMS National Downloadable File, September 2026.