Graduated: 2018
NPI: 1407375090
Practice Locations (3)
885 PENNIMAN AVE, UNIT 5425
PLYMOUTH, MI 481707729
4600 MCAULEY PL, SUITE 600
Blue Ash, OH 452424778
5800 MONROE ST, SUITE H2
SYLVANIA, OH 435602260
Source: CMS National Downloadable File, September 2026.