Graduated: 2019
NPI: 1306402383
Practice Locations (2)
CLEANSLATE MEDICAL GROUP OF INDIANA LLC
4925 S SCATTERFIELD RD
ANDERSON, IN 460132911
7654420402
HENDRICKS COUNTY HOSPITAL
1100 SOUTHFIELD DR, 1330 HENDRICKS RHEUMATOLOGY
PLAINFIELD, IN 461684499
3178375510
Source: CMS National Downloadable File, September 2026.