Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 1998
NPI: 1336247667
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
11110 MEDICAL CAMPUS RD, SUITE 200
HAGERSTOWN, MD 217426797
3017909240
Source: CMS National Downloadable File, September 2026.