Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1997
NPI: 1922084425
Practice Locations (1)
CARELINE POH100 LLC
3550 BRIARFIELD BLVD, SUITE 300
MAUMEE, OH 435378916
4194522140
Source: CMS National Downloadable File, September 2026.