Graduated: 2011
NPI: 1073890505
Practice Locations (2)
GREAT LAKES PHYSICIAN PRACTICE PC
117 MAIN ST
SALAMANCA, NY 147791529
7169455500
REGIONAL HEALTH SERVICES INC
3406 PEACH ST
ERIE, PA 165082740
8148775381
Source: CMS National Downloadable File, September 2026.