Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1990
NPI: 1891766143
Practice Locations (2)
15265 NORTHLINE RD
SOUTHGATE, MI 481952487
7342817040
HENRY FORD WYANDOTTE HOSPITAL
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
7342842400
Source: CMS National Downloadable File, September 2026.