Graduated: 2010
NPI: 1093003956
Practice Locations (2)
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
THE SOUTH BEND CLINIC LLC
4440 PORTAGE RD
SOUTH BEND, IN 466289570
5742046200
Source: CMS National Downloadable File, September 2026.