Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1699828293
Practice Locations (2)
SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
1555 INDUSTRIAL DR
OWOSSO, MI 488679775
9897230732
COUNTY OF WASHTENAW
555 TOWNER ST
YPSILANTI, MI 481985723
7345443050
Source: CMS National Downloadable File, September 2026.