Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1988
NPI: 1649242629
Practice Locations (2)
20455 LORAIN RD, SUITE 101
FAIRVIEW PARK, OH 441263529
4403335350
8900 DARROW RD, H110
TWINSBURG, OH 440876801
3304053301
Source: CMS National Downloadable File, September 2026.