Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 2002
NPI: 1366650400
Practice Locations (3)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD, SUITE 100
MACOMB, MI 480441161
3136473900
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD
WEST BLOOMFIELD, MI 483223013
2486614100
Source: CMS National Downloadable File, September 2026.