Medical school: MICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduated: 2021
NPI: 1912663154
Practice Locations (2)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
18101 OAKWOOD BLVD
DEARBORN, MI 481244089
2146870001
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
33155 ANNAPOLIS ST
WAYNE, MI 481842405
2146870001
Source: CMS National Downloadable File, September 2026.