Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1700893013
Practice Locations (4)
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
Source: CMS National Downloadable File, September 2026.