Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1991
NPI: 1821017930
Practice Locations (2)
15101 FORD RD
DEARBORN, MI 481264611
3135841000
ERICKSON HEALTH MEDICAL GROUP OF MICHIGAN, PC
41100 FOX RUN
NOVI, MI 483774804
2486688650
Source: CMS National Downloadable File, September 2026.