Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1174514087
Practice Locations (2)
NORTH CENTRAL OHIO FAMILY CARE CENTER INC
2981 W 4TH ST
ONTARIO, OH 449061267
4194680505
NORTH CENTRAL OHIO FAMILY CARE CENTER INC
715 RICHLAND MALL
ONTARIO, OH 449063802
5673077557
Source: CMS National Downloadable File, September 2026.