Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1952329591
Practice Locations (3)
GREAT LAKES PHYSICIAN PRACTICE PC
15 S MAIN ST
JAMESTOWN, NY 147016627
GREAT LAKES PHYSICIAN PRACTICE PC
31 SHERMAN ST, SUITE 2400
JAMESTOWN, NY 147017082
8144835306
GREAT LAKES PHYSICIAN PRACTICE PC
117 MAIN ST
SALAMANCA, NY 147791529
7169455500
Source: CMS National Downloadable File, September 2026.