Graduated: 2013
NPI: 1720420052
Practice Locations (2)
OHIO PHYSICIAN PROFESSIONAL CORPORATION
2600 6TH SWST
CANTON, OH 447101702
3303632180
BLOOMINGTON MEDICAL SERVICES LLC
2326 A EAGLE PASS
WOOSTER, OH 446915338
3302023477
Source: CMS National Downloadable File, September 2026.