Graduated: 1998
NPI: 1699745513
Practice Locations (5)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
37650 PROFESSIONAL CTR DR, SUITE 1010A
LIVONIA, MI 481541117
7344327070
HENRY FORD HEALTH PROVIDENCE HOSPITAL
47601 GRAND RIVER AVE
NOVI, MI 483741233
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
Source: CMS National Downloadable File, September 2026.