Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1962409961
Practice Locations (1)
HENRY FORD PHYSICIAN PARTNERS
30795 23 MILE RD, SUITE 201
CHESTERFIELD, MI 480475721
5864211600
Source: CMS National Downloadable File, September 2026.