Graduated: 1983
NPI: 1407939333
Practice Locations (3)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162000
HENRY FORD HEALTH SYSTEM
39450 W 12 MILE RD
NOVI, MI 483773600
2483448080
HENRY FORD HEALTH SYSTEM
22505 ALLEN RD
WOODHAVEN, MI 481832237
7346716217
Source: CMS National Downloadable File, September 2026.