Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1336157866
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
ASCENSION MICHIGAN-CMG
45640 SCHOENHERR RD
SHELBY TOWNSHIP, MI 483156033
5865663092
Source: CMS National Downloadable File, September 2026.