Graduated: 2014
NPI: 1689086373
Practice Locations (2)
UNIVERSITY PHYSICIAN GROUP
4201 SAINT ANTOINE ST
DETROIT, MI 482012153
3137454275
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
11800 E 12 MILE RD, ASCENSION MACOMB OAKLAND HOSPITAL
WARREN, MI 480933472
5865735000
Source: CMS National Downloadable File, September 2026.