Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1986
NPI: 1285800888
Practice Locations (3)
2400 MICHIGAN ST
Sidney, OH 453659080
2400 MICHIGAN AVE
SIDNEY, OH 453659080
2400 MICHIGAN ST
SIDNEY, OH 453659080
9374984225
Source: CMS National Downloadable File, September 2026.