Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1988
NPI: 1689644023
Practice Locations (3)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
HENRY FORD HEALTH PROVIDENCE HOSPITAL
26850 PROVIDENCE PKWY, SUITE 260
NOVI, MI 483741256
2484655140
THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC
22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 480756212
2485630306
Source: CMS National Downloadable File, September 2026.