Graduated: 1993
Also: GERIATRIC MEDICINE
NPI: 1578644712
Practice Locations (2)
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R ST
DETROIT, MI 482012013
8005276266
7071 ORCHARD LAKE RD, SUITE 220
WEST BLOOMFIELD, MI 483223683
2488556033
Source: CMS National Downloadable File, September 2026.