Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1346258795
Practice Locations (1)
EASTERSEALS MORC HEALTH CARE, INC
6900 E 10 MILE RD, EASTER SEALS MACOMB COUNTY
CENTER LINE, MI 480151168
5865013070
Source: CMS National Downloadable File, September 2026.