Graduated: 2016
NPI: 1578013397
Practice Locations (4)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
47601 GRAND RIVER AVE
NOVI, MI 483741233
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
Source: CMS National Downloadable File, September 2026.