Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1215955661
Practice Locations (1)
NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
4807 ROCKSIDE RD, SUITE 100
INDEPENDENCE, OH 441312188
2165244009
Source: CMS National Downloadable File, September 2026.