Graduated: 2023
NPI: 1386375897
Practice Locations (4)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
IHA OLMA SPECIALTY 1 LLC
19000 ST JOES PKWY
LIVONIA, MI 481521477
IHA OLMA SPECIALTY 1 LLC
36475 5 MILE RD
LIVONIA, MI 481541971
7346552692
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD, HENRY FORD WEST BLOOMFIELD MED CTR
WEST BLOOMFIELD, MI 483223013
2486614100
Source: CMS National Downloadable File, September 2026.