Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1356314421
Practice Locations (2)
UNITED CHURCH HOMES, INC.
170 E CTR ST
MARION, OH 433023815
7402518306
3103 CAMPBELL ST
SANDUSKY, OH 448707230
4196254461
Source: CMS National Downloadable File, September 2026.