Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1967
NPI: 1538797063
Practice Locations (1)
LEGACY HEALTHCARE SERVICES INC
200 HAMLET HILLS DR
CHAGRIN FALLS, OH 440222870
4406007688
Source: CMS National Downloadable File, September 2026.