Graduated: 2020
NPI: 1245864057
Practice Locations (2)
PIC INDIANA PC
1245 E IRELAND RD, SUITE B
SOUTH BEND, IN 466143448
5743127022
SOUTH BEND EMERGENCY PHYSICIANS INC
615 N MICHIGAN ST
SOUTH BEND, IN 466011033
5746471000
Source: CMS National Downloadable File, September 2026.