Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1992
NPI: 1831142009
Practice Locations (1)
PROMEDICA CENTRAL PHYSICIANS
650 BEAVER CREEK CIR, SUITE 130
MAUMEE, OH 435371753
4198916210
Source: CMS National Downloadable File, September 2026.