Graduated: 2021
NPI: 1316521404
Practice Locations (3)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
39450 W 12 MILE RD
NOVI, MI 483773600
2483448080
Source: CMS National Downloadable File, September 2026.