Graduated: 1972
NPI: 1760472740
Practice Locations (2)
SJMH MEDICAL PRACTICE-SMHC
44405 WOODWARD AVE
PONTIAC, MI 483415023
SJMH MEDICAL PRACTICE-SMHC
44428 WOODWARD AVE, SUITE 104
PONTIAC, MI 483415009
2488586272
Source: CMS National Downloadable File, September 2026.