Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1073503512
Practice Locations (2)
THE SOUTH BEND CLINIC LLC
52500 FIR RD
GRANGER, IN 465308579
5742710700
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.