Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 2014
NPI: 1053722934
Practice Locations (3)
707 CEDAR ST, SUITE 405
SOUTH BEND, IN 466172059
707 CEDAR ST, SUITE 405
SOUTH BEND, IN 466172087
PO BOX, SUITE 781076
DETROIT, MI 48278
Source: CMS National Downloadable File, September 2026.