Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1974
NPI: 1487654091
Practice Locations (4)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
22250 PROVIDENCE DR
SOUTHFIELD, MI 480756211
Source: CMS National Downloadable File, September 2026.