Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1952305765
Practice Locations (4)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY, SUITE 30
FARMINGTON HILLS, MI 483343230
2488654030
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY 235
FARMINGTON HILLS, MI 483343282
2487374600
HENRY FORD HEALTH PROVIDENCE HOSPITAL
30055 NORTHWESTERN HWY 260, PROVIDENCE FAMILY MEDICINE
FARMINGTON HILLS, MI 483343275
2488654030
HENRY FORD HEALTH PROVIDENCE HOSPITAL
26850 PROVIDENCE PKWY
NOVI, MI 483741263
2487374600
Source: CMS National Downloadable File, September 2026.