Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1980
NPI: 1407802754
Practice Locations (3)
1701 MERCY HEALTH PLACE - HOME OFFICE, PAYER DELEGATION AND ENROLLMENT
Cincinnati, OH 452374733
1701 MERCY HEALTH PLACE - HOME OFFICE, PAYER DELEGATION AND ENROLLMENT
CINCINNATI, OH 452374733
2200 JEFFERSON AVE
TOLEDO, OH 436047181
Source: CMS National Downloadable File, September 2026.