Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1912910696
Practice Locations (2)
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC
5635 W FORT ST
DETROIT, MI 482093154
3138493920
3015 S STATE RD
IONIA, MI 488468777
6165229110
Source: CMS National Downloadable File, September 2026.