Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1991
NPI: 1942257407
Practice Locations (2)
BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES
44201 DEQUINDRE RD
TROY, MI 480851117
2489641187
BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES
44201 DEQUINDRE RD EC, BEAUMONT EMERGENCY SERVICES TR
TROY, MI 480851117
2489645111
Source: CMS National Downloadable File, September 2026.