Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1356499800
Practice Locations (3)
29275 HARPER AVE
Saint Clair Shores, MI 480811248
29275 HARPER AVE
SAINT CLAIR SHORES, MI 480811248
5867796630
29275 HARPER AVE
ST CLAIR SHORES, MI 480811248
Source: CMS National Downloadable File, September 2026.