Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1987
NPI: 1013979970
Practice Locations (2)
6693 N CHESTNUT ST
RAVENNA, OH 442660228
6693 N CHESTNUT ST, SUITE 12B
RAVENNA, OH 442663900
3302971211
Source: CMS National Downloadable File, September 2026.