Graduated: 2019
NPI: 1366081044
Practice Locations (2)
HENRY FORD MACOMB HOSPITAL CORPORATION
15855 19 MILE RD
CLINTON TOWNSHIP, MI 480383504
5862632300
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
Source: CMS National Downloadable File, September 2026.