Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1984
Offers telehealth
NPI: 1003819525
Practice Locations (1)
PROVIDENCE MEDICAL GROUP
8701 OLD TROY PIKE, SUITE 50
HUBER HEIGHTS, OH 454241055
9372334252
Source: CMS National Downloadable File, September 2026.