Graduated: 2021
NPI: 1215512876
Practice Locations (3)
SUNY HEALTH SCIENCE CENTER AT SYRACUSE
90 PRESIDENTIAL PLZ
SYRACUSE, NY 132022240
3154648093
COLUMBIA LUTHERAN CHARITIES
1639 SE ENSIGN LN
WARRENTON, OR 971467308
5033384500
COLUMBIA LUTHERAN CHARITIES
1639 SE ENSIGN LN, SUITE B103
WARRENTON, OR 971467308
5033384500
Source: CMS National Downloadable File, September 2026.