Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1134108541
Practice Locations (1)
PARKVIEW WABASH HOSPITAL INC
1104 N WAYNE ST, PARKVIEW WABASH HEALTH CLINIC NORTH MANCH
NORTH MANCHESTER, IN 469621001
2609822102260569
Source: CMS National Downloadable File, September 2026.