Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1336246966
Practice Locations (2)
1030 HARRINGTON ST
MOUNT CLEMENS, MI 480432918
1030 HARRINGTON ST, SUITE 205
MOUNT CLEMENS, MI 480432967
5864933195
Source: CMS National Downloadable File, September 2026.