Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
NPI: 1558318741
Practice Locations (2)
INDEPENDENT OBSERVATION PHYSICIANS PLLC
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
INDEPENDENT OBSERVATION PHYSICIANS PLLC
47601 GRAND RIVER AVE
NOVI, MI 483741233
2484654210
Source: CMS National Downloadable File, September 2026.