Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1958
Also: FAMILY PRACTICE, PREVENTIVE MEDICINE
NPI: 1932236262
Practice Locations (1)
14103 FENKELL ST
DETROIT, MI 482273214
3138371970
Source: CMS National Downloadable File, September 2026.