Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1114918422
Practice Locations (2)
ROCKFORD HEALTH PHYSICIANS
8201 E RIVERSIDE BLVD
ROCKFORD, IL 611142300
8159712000
HOLY ROSARY HEALTHCARE
2600 WILSON ST
MILES CITY, MT 593015094
4062332600
Source: CMS National Downloadable File, September 2026.