Graduated: 2007
NPI: 1770818577
Practice Locations (3)
1001 LELAND ST
DETROIT, MI 482074704
3134926007
20000 DEQUINDRE ST
DETROIT, MI 482344512
3134926007
26105 ORCHARD LAKE RD, SUITE 310
FARMINGTON HILLS, MI 483344510
3134926007
Source: CMS National Downloadable File, September 2026.