Graduated: 2017
NPI: 1841799780
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD HEALTH SYSTEM
6530 FARMINGTON RD
WEST BLOOMFIELD, MI 483223216
2486618240
Source: CMS National Downloadable File, September 2026.