Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1994
NPI: 1295735256
Practice Locations (1)
COMMUNITY PHYSICIANS OF INDIANA INC
533 E COUNTY LINE RD, SUITE 102
GREENWOOD, IN 461431074
3178596626
Source: CMS National Downloadable File, September 2026.