Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2002
NPI: 1225010580
Practice Locations (1)
MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC
1600 E RIVERVIEW AVE, SUITE 101
NAPOLEON, OH 435459806
4195928774
Source: CMS National Downloadable File, September 2026.