Graduated: 1997
Offers telehealth
NPI: 1578608725
Practice Locations (2)
22811 GREATER MACK AVE, SUITE 108
SAINT CLAIR SHORES, MI 480802053
5867756720
22811 MACK AVE, SUITE 108
SAINT CLAIR SHORES, MI 480802053
Source: CMS National Downloadable File, September 2026.