Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Offers telehealth
NPI: 1811122286
Practice Locations (1)
GRANDW INC
400 FOXCROFT AVE
MARTINSBURG, WV 254015302
3045605123
Source: CMS National Downloadable File, September 2026.