Graduated: 1993
NPI: 1073715108
Practice Locations (6)
BEACON MEDICAL GROUP INC
100 NAVARRE PL
SOUTH BEND, IN 466011171
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
LUMINIS HEALTH MEDICAL GROUP, LLC
185 HARRY S TRUMAN PKWY, 120 CENTER FOR MATERNAL AND FETAL MED
ANNAPOLIS, MD 214017580
4102244442
WELLSPAN MEDICAL GROUP
175 MARTIN AVE, SUITE 105
EPHRATA, PA 175221761
7174665420
Source: CMS National Downloadable File, September 2026.