Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2009
NPI: 1982845921
Practice Locations (3)
LEGACY PATH LLC
3355 DOUGLAS RD
SOUTH BEND, IN 466351779
5742344176
LEGACY PATH LLC
1521 GULL RD
KALAMAZOO, MI 490481640
2692267231
METROLINA DERMATOLOGY AND SKIN SURGERY SPECIALISTS PLLC
10502 PARK RD, SUITE 100
CHARLOTTE, NC 282106569
9802993926
Source: CMS National Downloadable File, September 2026.