Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1457564205
Practice Locations (7)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY 235
FARMINGTON HILLS, MI 483343282
2487374600
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY 260, PROVIDENCE FAMILY MEDICINE
FARMINGTON HILLS, MI 483343275
2488654030
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
22250 PROVIDENCE DR
SOUTHFIELD, MI 480756212
HENRY FORD HEALTH PROVIDENCE HOSPITAL
22250 PROVIDENCE DR
SOUTHFIELD, MI 480756211
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
Source: CMS National Downloadable File, September 2026.