Graduated: 2020
NPI: 1679194542
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD
WEST BLOOMFIELD, MI 483223013
2486614100
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
7342842400
Source: CMS National Downloadable File, September 2026.