Graduated: 2014
NPI: 1407269822
Practice Locations (3)
HENRY FORD MACOMB HOSPITAL CORPORATION
15717 15 MILE RD
CLINTON TOWNSHIP, MI 480352101
HENRY FORD MACOMB HOSPITAL CORPORATION
15855 19 MILE RD
CLINTON TOWNSHIP, MI 480383504
5862632300
MICHIGAN INSTITUTE OF UROLOGY PC
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 480813203
5867714820
Source: CMS National Downloadable File, September 2026.