Graduated: 2016
NPI: 1134677891
Practice Locations (2)
OSU PLASTIC SURGERY LLC
181 TAYLOR AVE, FL 13
COLUMBUS, OH 432031779
6142938566
OSU PLASTIC SURGERY LLC
915 OLENTANGY RIVER RD
COLUMBUS, OH 432123153
6142938566
Source: CMS National Downloadable File, September 2026.