Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1528085164
Practice Locations (2)
5748 STATE ROUTE 13
GREENWICH, OH 448379308
4199088003
OH INDEPENDENT MEDICAL GROUP LLC
5748 STATE ROUTE 13
GREENWICH, OH 448379308
4199088003
Source: CMS National Downloadable File, September 2026.