Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1974
NPI: 1760459994
Practice Locations (2)
20307 W 12 MILE RD, SUITE 104
SOUTHFIELD, MI 480765407
2483533388
PREMIER THERAPY CENTERS, INC
33010 NORTHWESTERN HWY
WEST BLOOMFIELD, MI 483223634
Source: CMS National Downloadable File, September 2026.