Graduated: 2001
NPI: 1477573251
Practice Locations (2)
PROMEDICA GENITO-URINARY SURGEONS LLC
1250 RALSTON AVE, SUITE 203
DEFIANCE, OH 435125309
4197836915
PROMEDICA GENITO-URINARY SURGEONS LLC
2120 W CENTRAL AVE
TOLEDO, OH 436063834
4195318558
Source: CMS National Downloadable File, September 2026.