Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1962483842
Practice Locations (3)
NORTH EAST OHIO GROUP PRACTICE LLC
2351 E 22ND ST
CLEVELAND, OH 441153111
2168616200
NORTH EAST OHIO GROUP PRACTICE LLC
2351 E 22ND ST, FL 7
CLEVELAND, OH 441153111
2165922830
NORTH EAST OHIO GROUP PRACTICE LLC
18697 BAGLEY RD
MIDDLEBRG HTS, OH 441303417
4408168000
Source: CMS National Downloadable File, September 2026.