Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1974
NPI: 1902883507
Practice Locations (2)
BLOOMINGTON MEDICAL SERVICES LLC
1761 BEALL AVE
WOOSTER, OH 446912342
BLOOMINGTON MEDICAL SERVICES LLC
2326 A EAGLE PASS
WOOSTER, OH 446915338
3302023477
Source: CMS National Downloadable File, September 2026.