Graduated: 2012
NPI: 1457695405
Practice Locations (2)
MARY RUTAN HOSPITAL
1134 N MAIN ST, SUITE 1100
BELLEFONTAINE, OH 433112379
9376516820
UNION COUNTY PHYSICIAN CORPORATION
17853 STATE ROUTE 31, SUITE B
MARYSVILLE, OH 430408835
9375784004
Source: CMS National Downloadable File, September 2026.