Graduated: 2002
NPI: 1881618841
Practice Locations (2)
GREAT LAKES MEDICAL SERVICES LLC
25660 DIXIE HWY
PERRYSBURG, OH 435512167
GREAT LAKES MEDICAL SERVICES LLC
25660 DIXIE HWY, SUITE B
PERRYSBURG, OH 435512167
4198725343
Source: CMS National Downloadable File, September 2026.