Graduated: 1975
NPI: 1891862264
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3138762454
Source: CMS National Downloadable File, September 2026.