Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1740390848
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
LAKESIDE NEUROLOGY P C
28573 SCHOENHERR RD
WARREN, MI 480884330
5867773375
Source: CMS National Downloadable File, September 2026.