Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1740287572
Practice Locations (6)
KETTERING INDEPENDENT MEDICAL GROUP INC
2510 COMMONS BLVD
BEAVERCREEK, OH 454313834
KETTERING INDEPENDENT MEDICAL GROUP INC
6438 WILMINGTON PIKE
CENTERVILLE, OH 454597021
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD
KETTERING, OH 454291221
9373958646
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD, FL 4
KETTERING, OH 454291221
9373958251
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
Source: CMS National Downloadable File, September 2026.