Graduated: 2021
NPI: 1306446547
Practice Locations (2)
HENRY FORD HEALTH ST. JOHN HOSPITAL
19229 MACK AVE, SUITE 24
GROSSE POINTE WOODS, MI 482362857
3138845522
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
Source: CMS National Downloadable File, September 2026.