(248) 318-3145
Personally Representing Healthcare Providers Across Michigan

Starting or Relocating Your Practice?

Whether you're opening your very first location or your practice has outgrown its current space, I'll personally guide you through finding the right one — at zero cost to you. The landlord pays my fee, not the doctor.

Get Your Free Site Search Started Already Have a Practice? Read This

Michigan-Focused

Personally serving healthcare providers across Michigan — I know the local market inside and out.

$2,000,000+

Saved for my clients through skilled lease negotiations and competitive bidding.

Every Stage, Covered

First-time owners opening location one, and established practices outgrowing location one.

Alex Giwa

Hi, I'm Alex Giwa.

Healthcare real estate is my specialty — not a side of what I do, but the focus of it. Across Michigan, I work with dentists, physicians, veterinarians, and specialists finding the right space for their practice, and with landlords who own the buildings they lease it in.

Understanding both sides of a healthcare real estate deal is what makes the difference: I know what makes a clinical space work for patients and staff, and I know what makes it work for an owner's bottom line. That combination is rare, and it's why clients on both sides come back to me.

I handle every client personally, from the first conversation through move-in day — or lease-up.

Alex Giwa Vice President, Skylark Commercial Realty · (248) 318-3145

Why Doctors Work With Me

Opening or moving a practice is a huge step. I make sure it's an exciting one — not a stressful one.

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Zero Cost to You

The landlord pays my fee. My representation costs you nothing out of pocket — commercial real estate commissions are paid by the landlord, so you get a dedicated advocate for free.

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Competitive Bid Negotiation

I create competition among landlords to negotiate the strongest possible terms on rent, tenant improvement allowances, and lease flexibility on your behalf.

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Personal, Full-Service Guidance

From site selection to lease signing, I walk you through every step myself so you can focus on your patients, not deciphering legal jargon.

Already Own or Lease a Practice?

Growth Is a Good Problem. Let's Solve It the Right Way.

Plenty of the doctors I work with aren't opening their first location — they're outgrowing their current one, getting squeezed by rising costs, or realizing their space just doesn't fit the practice anymore.

If any of this sounds familiar, it's worth a conversation before your renewal date sneaks up on you — start with a free, no-obligation lease review.

Get My Free Lease Review

📈 Outgrowing Your Space

More patients, more staff, more equipment — and not enough square footage to fit it all. I help growing practices find space that fits where they're headed, not just where they've been.

💵 Rising Occupancy Costs

Rent escalations, unfavorable renewal terms, or a lease that no longer makes financial sense. I create a competitive bid environment that gives you real leverage — even if you end up staying put.

📍 Better Location, Better Fit

Foot traffic, visibility, parking, or simply being closer to where your patients actually live. Sometimes the right move isn't bigger — it's smarter.

🏢 Lease Expiring Soon

An upcoming renewal is the single best moment to evaluate your options and negotiate from a position of strength. Don't wait until the last minute to find out what's possible.

📋 Free Lease Review

Not sure if relocating even makes sense yet? I'll review your current lease at no cost and tell you exactly where you stand — market rent comparison, hidden escalations, renewal leverage, and whether staying or moving is the smarter financial call.

Let's Find Your Space

Tell me a bit about your plans — I'll personally reach out to start your free, no-obligation site search.

Thank You! 🎉

I've received your information and will personally reach out shortly to begin your free site search. In the meantime, feel free to chat with my assistant below with any questions.