Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1588011340
Practice Locations (2)
HENRY FORD HEALTH GENESYS HOSPITAL
1 GENESYS PKWY
GRAND BLANC, MI 484398065
8106065000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
Source: CMS National Downloadable File, September 2026.