Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 1986
NPI: 1407841356
Practice Locations (3)
GREAT LAKES PHYSICIAN PRACTICE PC
33 N MAIN ST
CASSADAGA, NY 147189600
7165953001
GREAT LAKES PHYSICIAN PRACTICE PC
12 CTR ST
FREDONIA, NY 140631769
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
Source: CMS National Downloadable File, September 2026.