Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1811939762
Practice Locations (3)
301 EXPLORER ST
GWINN, MI 498412813
506 CAMPUS DR
HANCOCK, MI 499301569
26901 BEAUMONT BLVD
SOUTHFIELD, MI 480333849
Source: CMS National Downloadable File, September 2026.