Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1891761821
Practice Locations (2)
POWERBACK REHABILITATION LLC
44003 PARTRIDGE CREEK BLVD
CLINTON TWP, MI 480380002
3426273267
HENRY FORD HEALTH ST. JOHN HOSPITAL
19901 E 10 MILE RD, HARPER FAMILY PRACTICE
ST CLAIR SHORES, MI 480811069
5867771277
Source: CMS National Downloadable File, September 2026.