Graduated: 1989
Offers telehealth
NPI: 1467429977
Practice Locations (3)
1015 S BLACKHOOF ST
Wapakoneta, OH 458952209
1015 S BLACKHOOF ST
WAPAKONETA, OH 458952209
4197383317
1015 S BLACKHOOF ST
WAPAKONETA, OH 458952280
Source: CMS National Downloadable File, September 2026.