Graduated: 2014
NPI: 1134535974
Practice Locations (3)
GREAT LAKES PHYSICIAN PRACTICE PC
12 CTR ST
FREDONIA, NY 140631769
GREAT LAKES PHYSICIAN PRACTICE PC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7169343641
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
Source: CMS National Downloadable File, September 2026.