Graduated: 2023
NPI: 1710749106
Practice Locations (2)
PARK FAMILY HEALTH CARE PC
20720 PLYMOUTH RD
DETROIT, MI 482281275
3134934330
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
Source: CMS National Downloadable File, September 2026.