Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1790996262
Practice Locations (2)
MAGRUDER MEDICAL GROUP LTD
611 FULTON ST
PORT CLINTON, OH 434522008
MAGRUDER MEDICAL GROUP LTD
621 FULTON ST
PORT CLINTON, OH 434522034
4193014328
Source: CMS National Downloadable File, September 2026.