Graduated: 2012
NPI: 1669736153
Practice Locations (2)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
1435 N MILFORD RD, 101 PROVIDENCE OAKLAND INTERNAL MEDICINE
MILFORD, MI 483811015
2486859780
PREMIER THERAPY CENTERS, INC
33010 NORTHWESTERN HWY
WEST BLOOMFIELD, MI 483223634
Source: CMS National Downloadable File, September 2026.