Graduated: 1991
NPI: 1780732834
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
6777 W MAPLE RD, HENRY FORD WEST BLOOMFIELD MED CTR
WEST BLOOMFIELD, MI 483223013
2486614100
Source: CMS National Downloadable File, September 2026.