Graduated: 2020
NPI: 1902419104
Practice Locations (2)
COMPLEXCARE MEDICAL GROUP MIDWEST H PLLC
19100 W 7 MILE RD
DETROIT, MI 482192758
3135335002
THEORIA MEDICAL
19100 W 7 MILE RD
DETROIT, MI 482192758
3135335002
Source: CMS National Downloadable File, September 2026.