Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1989
NPI: 1629063532
Practice Locations (1)
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC INC
1464 JEFFERSON ST N
LEWISBURG, WV 249011380
3046453220
Source: CMS National Downloadable File, September 2026.