Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1981
Also: EMERGENCY MEDICINE
NPI: 1346214368
Practice Locations (1)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
44201 DEQUINDRE RD, NSA OF MICHIGAN III PLLC
TROY, MI 480851117
2146870001
Source: CMS National Downloadable File, September 2026.