Graduated: 2010
NPI: 1831499177
Practice Locations (2)
PROMEDICA GENITO-URINARY SURGEONS LLC
605 3RD AVE, SUITE A
FREMONT, OH 434203269
4193327221
PROMEDICA GENITO-URINARY SURGEONS LLC
2120 W CENTRAL AVE
TOLEDO, OH 436063834
4195318558
Source: CMS National Downloadable File, September 2026.