Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1336116201
Practice Locations (3)
KOSCIUSKO MEDICAL GROUP LLC
1205 PROVIDENT DR A
WARSAW, IN 465803265
5742698383
KOSCIUSKO MEDICAL GROUP LLC
1275 PROVIDENT DR
WARSAW, IN 465803265
5742694026
KOSCIUSKO MEDICAL GROUP LLC
2235 DUBOIS DR
WARSAW, IN 465803212
5742678189
Source: CMS National Downloadable File, September 2026.