Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2003
Also: GENERAL SURGERY
NPI: 1679694400
Practice Locations (2)
1 FORD PL, SUITE 2E
DETROIT, MI 482023450
ONE FORD PLACE, 2E
DETROIT, MI 482023450
Source: CMS National Downloadable File, September 2026.