Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1306838834
Practice Locations (1)
HENRY FORD HEALTH ST. JOHN HOSPITAL
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 480803200
5867772050
Source: CMS National Downloadable File, September 2026.