Graduated: 2018
NPI: 1740772763
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
7342468895
Source: CMS National Downloadable File, September 2026.