Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1013948058
Practice Locations (2)
MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC
1400 E 2ND ST
DEFIANCE, OH 435122440
4197841414
MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC
2702 NAVARRE AVE, SUITE 102
OREGON, OH 436163224
4196967000
Source: CMS National Downloadable File, September 2026.