Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2004
NPI: 1386610392
Practice Locations (2)
LONG LAKE ANESTHESIOLOGY CONSULTANTS PLC
4550 INVESTMENT DR, SUITE 100
TROY, MI 480986334
2482654600
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
33155 ANNAPOLIS ST
WAYNE, MI 481842405
2146870001
Source: CMS National Downloadable File, September 2026.