Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2016
NPI: 1114378882
Practice Locations (1)
DEACONESS ILLINOIS SPECIALTY CLINIC, INC.
3333 W DEYOUNG ST
MARION, IL 629595884
6189987000
Source: CMS National Downloadable File, September 2026.