Graduated: 2022
NPI: 1265171250
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
22505 ALLEN RD
WOODHAVEN, MI 481832237
7346716217
Source: CMS National Downloadable File, September 2026.