Graduated: 1984
NPI: 1316910912
Practice Locations (8)
PROVIDENCE MEDICAL GROUP, LLC
801 S MAIN ST, PROVIDENCE MEDICAL GROUP
CLINTON, IN 478422261
8122328164
PROVIDENCE MEDICAL GROUP, LLC
2200 N SECTION ST
SULLIVAN, IN 478827523
8122684311
PROVIDENCE MEDICAL GROUP, LLC
2229 MARY SHERMAN DR
SULLIVAN, IN 478827633
8122328164
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST C
TERRE HAUTE, IN 478023558
8122325936
PROVIDENCE MEDICAL GROUP, LLC
3901 S 7TH ST, PROVIDENCE MEDICAL GROUP
TERRE HAUTE, IN 478025709
8122328164
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST A
TERRE HAUTE, IN 478023558
PROVIDENCE MEDICAL GROUP, LLC
2723 S 7TH ST
TERRE HAUTE, IN 478023558
PROVIDENCE MEDICAL GROUP, LLC
1606 N 7TH ST, PROVIDENCE MEDICAL GROUP
TERRE HAUTE, IN 478042706
8122328164
Source: CMS National Downloadable File, September 2026.