Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1760454375
Practice Locations (2)
15265 NORTHLINE RD, SOUTHGATE OB GYN
SOUTHGATE, MI 481952487
7342852323
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
7342466000
Source: CMS National Downloadable File, September 2026.