Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2013
Also: MAXILLOFACIAL SURGERY
NPI: 1518122845
Practice Locations (1)
ORAL AND FACIAL SURGEONS OF MICHIGAN PC
9880 E GRAND RIVER AVE, 150 ORAL AND FACIAL SURGEONS OF MICHIGAN
BRIGHTON, MI 481161948
8102272626
Source: CMS National Downloadable File, September 2026.