Graham Health Center
408 Meadow Brook Road
Rochester, MI 48309-4452
(248) 370-2341
fax (248) 370-2691

24-hour RX refill:
(248) 370-2679
(If your question is time sensitive, please call the office.)

Staff Directory

Staff Directory
Nancy Jansen GHC directorNancy Jansen, ANP-BC
Director Graham Health Center

Certification: Adult Nurse Practitioner, American Nurses Credentialing Center
Graduate Degree: MSN Wayne State University 1985
Undergraduate Degree: BSN Oakland University 1978

Clinical Interests: Health promotion, disease prevention and women’s health
Personal Interests: History,exercise, reading, skiing, and spending time with my husband and 3 children
nicole clarkNikki Clark, FNP-BC
Family Nurse Practitioner
Faculty OU School of Nursing

Certification: Family Nurse Practitioner , American Nurses Credentialing Center
Graduate Degree: MSN Oakland University 2000
Undergraduate Degree: BSN Oakland University 1993

Clinical Interests: Health promotion
Personal Interests: Reading, scrapbooking, being a brownie "mom", spending time with my husband and 3 children
Dr. George Artzberger, D.O., F.A.A.F.P.
Available at GHC for patient care by referral 

Board Certification: Family Medicine
Medical Degree: Michigan State University
Undergraduate Degree: Michigan State University

Clinical Interests: Primary care, preventative medicine, wellness and urgent care.
Personal interests: Tennis, skiing, running, and being a soccer dad
Dr. Renda Dawud, M.D.
Available at GHC for patient care by referral

Board Certification: Family Medicine
Medical Degree: American University of the Caribbean
Undergraduate Degree: University of Michigan

Clinical Interests: Women’s Health
Personal Interests: Baseball, gardening and travel
 Carol Roekle, M.D.
Adult Psychiatrist

Medical Degree: University of Michigan
Patsey Magnan, MA
Medical Assistant III

Education: Ross Medical Institute
Personal Interests: Reading, camping, traveling, sports mom, enjoying my three busy kids
 Danielle Bajraktari, CMA
Medical Assistant II

Education: Carnegie Institute
Personal Interests: Traveling, reading, music, and spending time with my family
 Monique Ratliff, MA
Medical Assistant II

Education: Baker College Auburn Hills 
Personal Interests: Strength training, D.I.Y projects, drawing, photography, and spending time with my family


Shannon Alfonsi
Medical Biller 

What Do These
Specialties Mean?
Physicians (MD or DO) 

Physicians (MD or DO) are all licensed to practice medicine in the State of Michigan and are all board certified specialists.  Many of them have developed areas of special interest, such as cardiology, minor surgery, orthopedics or  gynecology.

Nurse Practitioners (NP)

NPs are advanced practice nurses who provide high-quality healthcare services similar to those of a doctor. NPs diagnose and treat a wide range of health problems. They have a unique approach and stress both care and cure. Besides clinical care, NP's focus on health promotion, disease prevention, health education and counseling.  Often referred to as a midlevel provider, similiar to a Physician Assistant.

 Among the many services that NPs provide they:
  • Order, perform and interpret diagnostic tests such as lab work and x-rays
  • Diagnose and treat acute and chronic conditions such as diabetes, high blood pressure, infections and injuries
  • Prescribe medications and other treatments
  • Manage patients' overall care
  • Spend time counseling patients
  • Help patients learn how their actions affect their health and wellbeing
Physician Assistants (PA-C)

Physician assistants are health care professionals licensed to practice medicine with physician supervision. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services.  Often referred to as a midlevel provider, similar to a Nurse Practitioner

Medical Assistant (MA)

Certified Medical Assistant (CMA)

The Certified Medical Assistant CMA (AAMA) credential is achieved by candidates who pass the CMA Examination  


Medical Assistants perform delegated clinical and administrative duties within the supervising practitioner’s scope of practice consistent with the CMA's education, training and experience.


Administrative duties include:

  • Using computer applications
  • Answering telephones
  • Greeting patients
  • Updating and filing patient medical records
  • Coding and filling out insurance forms
  • Scheduling appointments
  • Arranging for laboratory services
  • Handling correspondence, billing and bookkeeping

Clinical duties include:

  • Preparing patients for examination 
  • Collecting and preparing laboratory specimens
  • Performing basic laboratory tests
  • Instructing patients about medication and special diets
  • Preparing and administering medications as directed by a physician
  • Authorizing prescription refills as directed
  • Drawing blood