Graduated: 1984
NPI: 1295720001
Practice Locations (2)
HENRY FORD HEALTH ST. JOHN HOSPITAL
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
11800 E 12 MILE RD, ASCENSION MACOMB OAKLAND HOSPITAL
WARREN, MI 480933472
5865735000
Source: CMS National Downloadable File, September 2026.