Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1285803155
Practice Locations (2)
CRYSTAL CLINIC, INC.
437 PORTAGE TRAIL
CUYAHOGA FALLS, OH 442213227
3309299136
CRYSTAL CLINIC, INC.
437 PORTAGE TRL
CUYAHOGA FALLS, OH 442213227
3309299136
Source: CMS National Downloadable File, September 2026.