Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1942207931
Practice Locations (2)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
1200 BYRON RD
HOWELL, MI 488431007
5175460200
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
Source: CMS National Downloadable File, September 2026.