Graduated: 2001
NPI: 1578647236
Practice Locations (3)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
6525 2ND AVE
DETROIT, MI 482023006
3139724140
HENRY FORD HEALTH SYSTEM
7800 W OUTER DR
DETROIT, MI 482353461
3135436200
Source: CMS National Downloadable File, September 2026.