Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1996
NPI: 1720016462
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF MICHIGAN
1500 E MEDICAL CTR DR
ANN ARBOR, MI 481095000
7349367030
REGENTS OF THE UNIVERSITY OF MICHIGAN
19900 HAGGERTY RD, SUITE 111
LIVONIA, MI 481521054
7349367030
Source: CMS National Downloadable File, September 2026.