Graduated: 2015
NPI: 1164125068
Practice Locations (2)
UPPER VALLEY PROFESSIONAL CORPORATION
3130 N COUNTRY RD, 25A
TROY, OH 453731337
9374404466
HISEY PHYSICIAN SERVICES, LLC
3130 N COUNTRY RD, 25A
TROY, OH 453731337
9374404000
Source: CMS National Downloadable File, September 2026.