Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 1998
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1821040007
Practice Locations (2)
UPPER VALLEY PROFESSIONAL CORPORATION
1529 FAIR RD, SUITE 101
SIDNEY, OH 453658193
9377104242
UPPER VALLEY PROFESSIONAL CORPORATION
450 N HYATT ST
TIPP CITY, OH 453711433
9376699978
Source: CMS National Downloadable File, September 2026.