Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1962409094
Practice Locations (2)
HENRY FORD SEMI MEDICAL GROUP
17900 23 MILE RD
MACOMB, MI 480441161
3136473900
HENRY FORD PHYSICIAN PARTNERS
133 S MAIN ST
MOUNT CLEMENS, MI 480432308
5864681600
Source: CMS National Downloadable File, September 2026.