Graduated: 2016
NPI: 1083169924
Practice Locations (2)
UNIVERSITY PRIMARY CARE PRACTICES INC
158 W MAIN RD
CONNEAUT, OH 440302039
TRANSFORMATIVE ANESTHESIA, LLC
22715 FAIRVIEW CTR DR
FAIRVIEW PARK, OH 441263608
3308105797
Source: CMS National Downloadable File, September 2026.