Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2010
Offers telehealth
NPI: 1437474558
Practice Locations (1)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
210 N LAFAYETTE ST, PROVIDENCE MEDICAL CENTER SOUTH LYON
SOUTH LYON, MI 481782048
2484371744
Source: CMS National Downloadable File, September 2026.