Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1477749372
Practice Locations (2)
SJMH MEDICAL PRACTICE-SMHC
44405 WOODWARD AVE
PONTIAC, MI 483415023
SJMH MEDICAL PRACTICE-SMHC
44428 WOODWARD AVE, SUITE 104
PONTIAC, MI 483415009
2488586272
Source: CMS National Downloadable File, September 2026.