Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1973
Offers telehealth
NPI: 1841263589
Practice Locations (2)
610 E KIRACOFE AVE
ELIDA, OH 458071034
4193310443
LIMA MEMORIAL PROFESSIONAL CORPORATION
610 E KIRACOFE AVE
ELIDA, OH 458071034
4193310443
Source: CMS National Downloadable File, September 2026.