Graduated: 1992
NPI: 1346329208
Practice Locations (3)
IHA OLMA SPECIALTY 1 LLC
19000 ST JOES PKWY
LIVONIA, MI 481521477
ST MARY MERCY HOSPITAL PROFESSIONAL
36475 5 MILE RD
LIVONIA, MI 481541971
7346552671
IHA OLMA SPECIALTY 1 LLC
36475 5 MILE RD
LIVONIA, MI 481541971
7346552692
Source: CMS National Downloadable File, September 2026.