Graduated: 2015
NPI: 1871959395
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3139162600
SAINT MARY'S HEALTH SERVICES
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 495034502
7342632400
Source: CMS National Downloadable File, September 2026.