Graduated: 2015
NPI: 1538545140
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
159 KERCHEVAL AVE
GROSSE POINTE FARMS, MI 482363610
3136401000
Source: CMS National Downloadable File, September 2026.