Graduated: 1998
NPI: 1477726016
Practice Locations (3)
HQ OF BLOOMFIELD HILLS LLC
60 W BIG BEAVER RD, SUITE 125
BLOOMFIELD HILLS, MI 483043915
2483098900
KRS OF CLAWSON LLC
901 W MAPLE RD
CLAWSON, MI 480171005
2484358230
HQ OF FERNDALE EAST LLC
3055 HILTON RD, SUITE A
FERNDALE, MI 482201096
2489559889
Source: CMS National Downloadable File, September 2026.