Graduated: 2000
NPI: 1609005578
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
7677 YANKEE ST, SUITE 140
DAYTON, OH 454593475
8662249472
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
715 E WESTERN RESERVE RD
POLAND, OH 445143358
3307263204
Source: CMS National Downloadable File, September 2026.