Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1770634149
Practice Locations (2)
28 E WATERLOO ST
CANAL WINCHESTER, OH 431101138
6148331500
28 E WATERLOO ST, PO BOX 206
CANAL WINCHESTER, OH 431101138
Source: CMS National Downloadable File, September 2026.