Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1356388144
Practice Locations (2)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
3601 W 13 MILE RD, NSA OF MICHIGAN III PLLC
ROYAL OAK, MI 480736712
2146870001
NSA PAIN SERVICES OF MICHIGAN III, PLLC
10000 TELEGRAPH RD
TAYLOR, MI 481803330
2146870001
Source: CMS National Downloadable File, September 2026.