Graduated: 1998
Offers telehealth
NPI: 1861619603
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
5500 AUTO CLUB DR
DEARBORN, MI 481262779
3134254445
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
Source: CMS National Downloadable File, September 2026.