Graduated: 1979
NPI: 1003914292
Practice Locations (5)
BEACON MEDICAL GROUP INC
6913 N MAIN ST
GRANGER, IN 465308039
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST
SOUTH BEND, IN 466011033
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST, FL 5
SOUTH BEND, IN 466011033
5746477275
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST FL
SOUTH BEND, IN 466011033
ST. LUKE'S HOSPITAL OF DULUTH
1000 E 1ST ST, SUITE 203
DULUTH, MN 558052297
2182496450
Source: CMS National Downloadable File, September 2026.