Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
NPI: 1245223635
Practice Locations (1)
JTDM FAMILY PRACTICE LLC
140 FOX RD, SUITE 102
VAN WERT, OH 458912490
4195865760
Source: CMS National Downloadable File, September 2026.