Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1003893413
Practice Locations (2)
PROMEDICA GENITO-URINARY SURGEONS LLC
905 N MACOMB ST, 5 PROMEDICA GENITO URINARY LLC
MONROE, MI 481613076
7342439620
PROMEDICA GENITO-URINARY SURGEONS LLC
2120 W CENTRAL AVE
TOLEDO, OH 436063834
4195318558
Source: CMS National Downloadable File, September 2026.