Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1487616751
Practice Locations (2)
NORTHERN OHIO MEDICAL SPECIALISTS,LLC
112 INDEPENDENCE WAY
CLYDE, OH 434109812
NORTHERN OHIO MEDICAL SPECIALISTS,LLC
3004 HAYES AVE
SANDUSKY, OH 448705321
4196091112
Source: CMS National Downloadable File, September 2026.