Graduated: 1990
NPI: 1639162803
Practice Locations (6)
LICKING MEMORIAL PROFESSIONAL CORPORATION
120 MCMILLEN DR
NEWARK, OH 430551809
2205644806
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
LICKING MEMORIAL PROFESSIONAL CORPORATION
36 MCMILLEN DR
NEWARK, OH 430551809
2205644270
LICKING MEMORIAL PROFESSIONAL CORPORATION
88 MCMILLEN DR
NEWARK, OH 430551809
2205644270
NORTHERN OHIO ANESTHESIA SERVICES, LLC
1111 HAYES AVE
SANDUSKY, OH 448703323
4402338181227
SURGERY CENTER OF SANDUSKY LLC
2616 HAYES AVE
SANDUSKY, OH 448705311
4196262800
Source: CMS National Downloadable File, September 2026.