Graduated: 2007
NPI: 1699951095
Practice Locations (2)
HENRY FORD HEALTH ST. JOHN HOSPITAL
22101 MOROSS RD
DETROIT, MI 482362148
3133434000
LONG LAKE ANESTHESIOLOGY CONSULTANTS PLC
4550 INVESTMENT DR, SUITE 100
TROY, MI 480986334
2482654600
Source: CMS National Downloadable File, September 2026.