Graduated: 2012
NPI: 1184971202
Practice Locations (2)
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
PROMEDICA CENTRAL PHYSICIANS
2142 N COVE BLVD
TOLEDO, OH 436063895
4192914000
Source: CMS National Downloadable File, September 2026.