Graduated: 2019
NPI: 1407495757
Practice Locations (2)
NORTHERN OHIO MEDICAL SPECIALISTS,LLC
112 INDEPENDENCE WAY, SUITE 110
CLYDE, OH 434109812
4194839000
NORTH COAST PROFESSIONAL COMPANY, LLC
1111 HAYES AVE
SANDUSKY, OH 448703323
4195577400
Source: CMS National Downloadable File, September 2026.