Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1982
NPI: 1770547432
Practice Locations (2)
KSU FOOT AND ANKLE CLINIC
6000 ROCKSIDE WOODS BLVD
INDEPENDENCE, OH 441312330
KSU FOOT AND ANKLE CLINIC
6000 ROCKSIDE WOODS BLVD N
INDEPENDENCE, OH 441312330
2165201544
Source: CMS National Downloadable File, September 2026.