Graduated: 2005
NPI: 1093480618
Practice Locations (2)
GOSHEN HEALTH SYSTEM INC
2012 S MAIN ST, SUITE B
GOSHEN, IN 465265200
5745342025
THE SOUTH BEND CLINIC LLC
6301 UNIVERSITY COMMONS, SUITE 360
SOUTH BEND, IN 466353500
5742324800
Source: CMS National Downloadable File, September 2026.