Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2022
NPI: 1760122592
Practice Locations (1)
MEDICAL PRACTICES OF ANTIETAM, LLC
17301 VALLEY MALL RD, SUITE 125
HAGERSTOWN, MD 217406966
3017909237
Source: CMS National Downloadable File, September 2026.