Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1013966878
Practice Locations (2)
207 N TOWNLINE RD
LAGRANGE, IN 467611325
2604639219
600 S LAKEVIEW AVE, SUITE 102
STURGIS, MI 490912399
2696517808
Source: CMS National Downloadable File, September 2026.