Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Also: SPORTS MEDICINE
Offers telehealth
NPI: 1760480974
Practice Locations (3)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
26750 PROVIDENCE PKWY
NOVI, MI 483741211
2484654782
HENRY FORD HEALTH PROVIDENCE HOSPITAL
26750 PROVIDENCE PKWY, SUITE 210
NOVI, MI 483741212
2484654782
HENRY FORD HEALTH PROVIDENCE HOSPITAL
22250 PROVIDENCE DR, FL 5
SOUTHFIELD, MI 480754825
2488493441
Source: CMS National Downloadable File, September 2026.