Graduated: 2015
NPI: 1770953671
Practice Locations (5)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
47601 GRAND RIVER AVE
NOVI, MI 483741233
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FL, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
HENRY FORD HEALTH PROVIDENCE HOSPITAL
22250 PROVIDENCE DR
SOUTHFIELD, MI 480756215
Source: CMS National Downloadable File, September 2026.