Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1972
NPI: 1316944275
Practice Locations (2)
29355 NORTHWESTERN HWY, SUITE 100
SOUTHFIELD, MI 480341065
2483551300
29355 NORTHWESTERN HWY 100
SOUTHFIELD, MI 480341065
Source: CMS National Downloadable File, September 2026.