Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1991
NPI: 1811043664
Practice Locations (5)
PROVIDENCE MEDICAL GROUP
4403 W FRANKLIN ST D
BELLBROOK, OH 453052700
9378489010
PROVIDENCE MEDICAL GROUP
8701 OLD TROY PIKE, SUITE A
HUBER HEIGHTS, OH 454241066
9373968137
PROVIDENCE MEDICAL GROUP
8701 TROY PIKE, SUITE 40A
HUBER HEIGHTS, OH 454241066
9372222096
PROVIDENCE MEDICAL GROUP
2912 SPRINGBORO W
MORAINE, OH 454391674
PROVIDENCE MEDICAL GROUP
140 W MAIN ST, SUITE 110
SPRINGFIELD, OH 455021369
9372222096
Source: CMS National Downloadable File, September 2026.