Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1980
Offers telehealth
NPI: 1649271115
Practice Locations (2)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY, SUITE 150
FARMINGTON HILLS, MI 483343211
2488654150
PREMIER THERAPY CENTERS, INC
33010 NORTHWESTERN HWY
WEST BLOOMFIELD, MI 483223634
Source: CMS National Downloadable File, September 2026.