Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2025
NPI: 1518425610
Practice Locations (3)
18601 MACK AVE, SUITE 2
DETROIT, MI 482363250
11059 S MAPLELAWN AVEUUE
Taylor, MI 481804111
11059 S MAPLELAWN AVEUUE
TAYLOR, MI 481804111
Source: CMS National Downloadable File, September 2026.