Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1598755712
Practice Locations (2)
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
8429 TUTTLE AVE, 234 236
SARASOTA, FL 342432868
9414131550
MERCY HEALTH PHYSICIANS-NORTH LLC
2222 CHERRY ST, SUITE 2300
TOLEDO, OH 436082675
4192518983
Source: CMS National Downloadable File, September 2026.