Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1598772709
Practice Locations (2)
ASHTABULA COUNTY MEDICAL CENTER
2420 LAKE AVE
ASHTABULA, OH 440044954
4409976969
ASHTABULA COUNTY MEDICAL CENTER
2422 LAKE AVE
ASHTABULA, OH 440044985
4409976969
Source: CMS National Downloadable File, September 2026.