Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1114941176
Practice Locations (5)
KETTERING INDEPENDENT MEDICAL GROUP INC
2587 COMMONS BLVD, SUITE 110
BEAVERCREEK, OH 454313841
9374245825
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD
KETTERING, OH 454291221
9373958646
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD, FL 4
KETTERING, OH 454291221
9373958251
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
Source: CMS National Downloadable File, September 2026.