Graduated: 1982
NPI: 1508841669
Practice Locations (2)
SCL HEALTH MEDICAL GROUP-BUTTE LLC
400 S CLARK ST
BUTTE, MT 597012328
4064957260
NORTHERN OHIO MEDICAL SPECIALISTS,LLC
3004 HAYES AVE
SANDUSKY, OH 448705321
4196091112
Source: CMS National Downloadable File, September 2026.