Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1801891619
Practice Locations (2)
OH INDEPENDENT MEDICAL GROUP LLC
2212 MIFFLIN AVE, SUITE 130
ASHLAND, OH 448058846
4192898919
2212 MIFFLIN AVE, SUITE 130
ASHLAND, OH 448059586
4192898919
Source: CMS National Downloadable File, September 2026.