Graduated: 2002
NPI: 1295900520
Practice Locations (2)
NORTH COAST PROFESSIONAL COMPANY, LLC
1400 W MAIN ST
BELLEVUE, OH 448119088
4194834040
NORTHERN OHIO MEDICAL SPECIALISTS,LLC
112 INDEPENDENCE WAY, SUITE 110
CLYDE, OH 434109812
4194839000
Source: CMS National Downloadable File, September 2026.