Graduated: 2019
NPI: 1629633359
Practice Locations (2)
MICHIGAN ORTHOPAEDIC SURGEONS PLLC
30575 WOODWARD AVE
ROYAL OAK, MI 480730980
2482808550
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
11800 E 12 MILE RD
WARREN, MI 480933472
5865735000
Source: CMS National Downloadable File, September 2026.