Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1991
Offers telehealth
NPI: 1164596961
Practice Locations (2)
1627 HENTHORNE DR, SUITE B
MAUMEE, OH 435371370
1627 HENTHORNE DR B
MAUMEE, OH 435371370
4198668232
Source: CMS National Downloadable File, September 2026.