Medical school: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated: 1973
NPI: 1609934777
Practice Locations (3)
1717 DIXIE HWY, SUITE 200
FT WRIGHT, KY 41011
1717 DIXIE HWY, SUITE 200
FT WRIGHT, KY 410114701
1717 DIXIE HWY 200
FT WRIGHT, KY 41011
8595784143
Source: CMS National Downloadable File, September 2026.