Graduated: 2010
NPI: 1790289874
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
IHA HEALTH SERVICES CORPORATION
5333 MCAULEY DR, RM 6109
YPSILANTI, MI 481971005
7347121400
Source: CMS National Downloadable File, September 2026.