Graduated: 2022
NPI: 1780294868
Practice Locations (3)
14350 GRANDMONT AVE
DETROIT, MI 482271312
31700 MIDDLEBELT RD, SUITE 140
FARMINGTON HILLS, MI 483342300
29100 NORTHWESTERN HWY, SUITE 400
SOUTHFIELD, MI 480341091
Source: CMS National Downloadable File, September 2026.