Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1477552339
Practice Locations (2)
660 BEAVER CREEK CIR, SUITE 110
Maumee, OH 435371745
660 BEAVER CREEK CIR, SUITE 110
MAUMEE, OH 435371745
Source: CMS National Downloadable File, September 2026.