Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2006
NPI: 1922234723
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
1270 E STATE RD, 120 PPG ORTHOPEDICS
COLUMBIA CITY, IN 467258505
2602489960
Source: CMS National Downloadable File, September 2026.