Graduated: 2016
NPI: 1275128894
Practice Locations (3)
1 PARKLANE BLVD, SUITE 200E
DEARBORN, MI 481262470
16800 EDINBOROUGH RD
DETROIT, MI 482194036
27085 GRATIOT AVE, SUITE 107
ROSEVILLE, MI 480662984
Source: CMS National Downloadable File, September 2026.