Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
Also: FAMILY PRACTICE, UROLOGY
NPI: 1003807033
Practice Locations (1)
OHIOHEALTH CORPORATION
73 SPORTSMAN DR
MARENGO, OH 433341800
5672330410
Source: CMS National Downloadable File, September 2026.