Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1194929463
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
4000 MIAMISBURG CENTERVILLE RD, SUITE 450
MIAMISBURG, OH 453423908
9375602011
GENESIS MEDICAL GROUP, LLC
751 FOREST AVE, SUITE 301
ZANESVILLE, OH 437012875
7404540804
Source: CMS National Downloadable File, September 2026.