Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1407822612
Practice Locations (1)
HENRY FORD HEALTH ST. JOHN HOSPITAL
46591 ROMEO PLANK RD, SUITE 137
MACOMB, MI 480445743
5862266269
Source: CMS National Downloadable File, September 2026.