Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1770634305
Practice Locations (1)
PARK FAMILY HEALTH CARE PC
29600 S WIXOM RD
WIXOM, MI 483933459
2486681900
Source: CMS National Downloadable File, September 2026.