Graduated: 1997
NPI: 1790760221
Practice Locations (2)
GREAT LAKES PHYSICIAN PRACTICE PC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7169343641
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
Source: CMS National Downloadable File, September 2026.