Graduated: 1993
NPI: 1679633549
Practice Locations (2)
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R ST
DETROIT, MI 482012013
8005276266
UNIVERSITY PHYSICIAN GROUP
16836 NEWBURGH RD, SUITE 27
LIVONIA, MI 481541600
7344644220
Source: CMS National Downloadable File, September 2026.