Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1986
NPI: 1891761698
Practice Locations (1)
KETTERING INDEPENDENT MEDICAL GROUP INC
3533 SOUTHERN BLVD, SUITE 2250
KETTERING, OH 454291270
9373340330
Source: CMS National Downloadable File, September 2026.