Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1609877109
Practice Locations (1)
IHA OLMA PRIMARY CARE RISK LLC
19000 ST JOES PKWY, SUITE 200
LIVONIA, MI 481521477
7342133685
Source: CMS National Downloadable File, September 2026.