Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2004
NPI: 1295957926
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
22201 MOROSS RD, SUITE 252
DETROIT, MI 482362175
3133434411
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY 270, PROVIDENCE OB/GYN
FARMINGTON HILLS, MI 483343240
2488654230
Source: CMS National Downloadable File, September 2026.