Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1998
NPI: 1407815681
Practice Locations (2)
BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES
44201 DEQUINDRE RD
TROY, MI 480851117
2489641187
BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES
44201 DEQUINDRE RD EC, BEAUMONT EMERGENCY SERVICES TR
TROY, MI 480851117
2489645111
Source: CMS National Downloadable File, September 2026.