Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1974
Offers telehealth
NPI: 1275535650
Practice Locations (2)
1703 BELLWOOD CT
Bloomfield Hills, MI 483022601
1703 BELLWOOD CT
BLOOMFIELD HILLS, MI 483022601
2489322500
Source: CMS National Downloadable File, September 2026.