Graduated: 2003
NPI: 1194753582
Practice Locations (3)
201 PENNSYLVANIA PKWY, SUITE 100
INDIANAPOLIS, IN 462801393
PO BOX, SUITE 454
PLANKINTON, SD 57368
PO BOX, SUITE 305
VERMILLION, SD 57069
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2003
NPI: 1194753582
201 PENNSYLVANIA PKWY, SUITE 100
INDIANAPOLIS, IN 462801393
PO BOX, SUITE 454
PLANKINTON, SD 57368
PO BOX, SUITE 305
VERMILLION, SD 57069
Source: CMS National Downloadable File, September 2026.