Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1750356325
Practice Locations (2)
1979 HOLLAND AVE, SUITE C
PORT HURON, MI 480608639
8109821200
1979 HOLLAND AVE C
PORT HURON, MI 480608639
Source: CMS National Downloadable File, September 2026.