Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1989
NPI: 1194768606
Practice Locations (2)
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
412 COMO RD
LAKE COMO, PA 184371020
5707982828
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
132 MANLY RD
TAFTON, PA 184647829
5702262151
Source: CMS National Downloadable File, September 2026.