Medical school: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated: 1998
NPI: 1265427645
Practice Locations (2)
THE SOUTH BEND CLINIC LLC
5215 HOLY CROSS PKWY
MISHAWAKA, IN 465451469
5742348161
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.