Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
Offers telehealth
NPI: 1689655508
Practice Locations (2)
39475 LEWIS DR, SUITE 150
Novi, MI 483772980
39475 LEWIS DR, SUITE 150
NOVI, MI 483772980
2483013900
Source: CMS National Downloadable File, September 2026.