Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1986
NPI: 1235127606
Practice Locations (1)
WYANDOT MEMORIAL HOSPITAL
885 N SANDUSKY AVE
UPPER SANDUSKY, OH 433511031
41929449912157
Source: CMS National Downloadable File, September 2026.