Graduated: 1990
NPI: 1598760845
Practice Locations (2)
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC
715 S TAFT AVE, SUITE 195
FREMONT, OH 434203237
4193339533
LOGAN GENERAL HOSPITAL LLC
83 HOSPITAL DR
LOGAN, WV 256013451
3048311602
Source: CMS National Downloadable File, September 2026.