Graduated: 2003
NPI: 1477661387
Practice Locations (3)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
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.