Graduated: 2022
NPI: 1639899099
Practice Locations (2)
THEORIA MEDICAL
5201 CONNER ST
DETROIT, MI 482133405
3135715555
COMPLEXCARE MEDICAL GROUP MIDWEST H PLLC
34225 GRAND RIVER AVE
FARMINGTON, MI 483353440
2484777373
Source: CMS National Downloadable File, September 2026.