Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2019
NPI: 1457919680
Practice Locations (1)
ASCENSION MEDICAL GROUP VIA CHRISTI PA
1900 N AMIDON AVE, 100 VIA CHRISTI CLINIC PA
WICHITA, KS 672032125
3168329024
Source: CMS National Downloadable File, September 2026.