Graduated: 1989
NPI: 1902862436
Practice Locations (3)
IHA OLMA SPECIALTY 1 LLC
28300 ORCHARD LAKE RD, SUITE 101
FARMINGTON HILLS, MI 483343704
7346558250
IHA OLMA SPECIALTY 1 LLC
19000 ST JOES PKWY
LIVONIA, MI 481521477
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
2484243000
Source: CMS National Downloadable File, September 2026.