Graduated: 2020
NPI: 1649888959
Practice Locations (4)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
18101 OAKWOOD BLVD
DEARBORN, MI 481244089
2146870001
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2488493000
UNIVERSITY PRIMARY CARE PRACTICES INC
3999 RICHMOND RD
BEACHWOOD, OH 441226046
2163830100
UNIVERSITY PRIMARY CARE PRACTICES INC
158 W MAIN RD
CONNEAUT, OH 440302039
Source: CMS National Downloadable File, September 2026.