Graduated: 1989
NPI: 1477667111
Practice Locations (3)
2257 LOBELIA AVE
UPLAND, CA 917847386
1404 PARK AVE W, SUITE 2
Mansfield, OH 449062633
1404 PARK AVE W, SUITE 2
MANSFIELD, OH 449062633
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1989
NPI: 1477667111
2257 LOBELIA AVE
UPLAND, CA 917847386
1404 PARK AVE W, SUITE 2
Mansfield, OH 449062633
1404 PARK AVE W, SUITE 2
MANSFIELD, OH 449062633
Source: CMS National Downloadable File, September 2026.