Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1988
NPI: 1508990946
Practice Locations (3)
2600 6TH ST SW
CANTON, OH 447101702
PO BOX, SUITE 80690
CANTON, OH 44708
PO BOX, SUITE 80690
CANTON, OH 447080690
Source: CMS National Downloadable File, September 2026.