Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1275554073
Practice Locations (2)
HENRY FORD MACOMB HOSPITAL CORPORATION
15717 15 MILE RD
CLINTON TOWNSHIP, MI 480352101
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
Source: CMS National Downloadable File, September 2026.