Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1114912375
Practice Locations (1)
SUSQUEHANNA PHYSICIAN SERVICES
700 HIGH ST
WILLIAMSPORT, PA 177013100
5703211279
Source: CMS National Downloadable File, September 2026.