Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
Offers telehealth
NPI: 1548476435
Practice Locations (2)
251 E MERRILL ST, SUITE 230
BIRMINGHAM, MI 480096116
251 MERRILL ST, SUITE 230
BIRMINGHAM, MI 480096116
2486443803
Source: CMS National Downloadable File, September 2026.