Graduated: 2018
NPI: 1790282515
Practice Locations (2)
OHIOHEALTH CORPORATION
1000 MCKINLEY PARK DR
MARION, OH 433026399
7403838400
OSUP COMMUNITY OUTREACH LLC
6100 N HAMILTON RD
WESTERVILLE, OH 430812062
6142934969
Source: CMS National Downloadable File, September 2026.