Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1336183631
Practice Locations (1)
WELLSPAN MEDICAL GROUP
30 W SWARTZVILLE RD, WELLSPAN FAMILY MEDICINE COCALICO
REINHOLDS, PA 175699641
7174844347
Source: CMS National Downloadable File, September 2026.