Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 2006
NPI: 1295123693
Practice Locations (1)
MIDWEST BEHAVIORAL HEALTH LLC
3930 EDISON LAKES PKWY, SUITE 320
MISHAWAKA, IN 465453474
2164685000
Source: CMS National Downloadable File, September 2026.