Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1568564367
Practice Locations (1)
HENRY FORD MEDICAL GROUP GENESYS
5900 WALDON RD, SUITE A
CLARKSTON, MI 483464806
2486257890
Source: CMS National Downloadable File, September 2026.