Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1984
Also: HOSPICE/PALLIATIVE CARE
NPI: 1053301614
Practice Locations (1)
AUGLAIZE FAMILY PRACTICE CENTER LLC
1007 W AUGLAIZE ST
WAPAKONETA, OH 458951351
4197389601
Source: CMS National Downloadable File, September 2026.