This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MI
NURSE PRACTITIONER
Graduated: 2018
NPI: 1639660046
12866 FORT ST
SOUTHGATE, MI 481951060
7347207920
Source: CMS National Downloadable File, September 2026.