Graduated: 2008
NPI: 1033532007
Practice Locations (3)
OH INDEPENDENT MEDICAL GROUP LLC
929 HARRISON AVE, SUITE 200
COLUMBUS, OH 432151300
6149404868
ENLIVEN RESOURCES LLC
929 HARRISON AVE, SUITE 200
COLUMBUS, OH 432151300
6149404868
OH INDEPENDENT MEDICAL GROUP LLC
444 N CLEVELAND AVE, SUITE 120
WESTERVILLE, OH 430828388
6148180300
Source: CMS National Downloadable File, September 2026.