Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1013970151
Practice Locations (2)
167 W MAIN RD, SUITE G
CONNEAUT, OH 440302057
4405998844
167 W MAIN RD G
CONNEAUT, OH 440302057
Source: CMS National Downloadable File, September 2026.