Graduated: 2021
NPI: 1639826233
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
1 QUALITY DR
VACAVILLE, CA 956889494
7076244000
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
7342468895
Source: CMS National Downloadable File, September 2026.