Graduated: 1982
NPI: 1144299884
Practice Locations (2)
NORTHERN OHIO MEDICAL SPECIALISTS,LLC
521 N SANDUSKY ST
BELLEVUE, OH 448111180
4194836267
SOMC MEDICAL CARE FOUNDATION, INC.
1735 27TH ST
PORTSMOUTH, OH 456622677
7403562496
Source: CMS National Downloadable File, September 2026.