Graduated: 2019
NPI: 1336768571
Practice Locations (2)
STATERA HEALTH CARE LLC
200 E FAIRMAN AVE
WATSEKA, IL 609701644
8154325841
EMERGENCY PROFESSIONALS OF INDIANA PC
85 E US HWY 6
VALPARAISO, IN 463838947
2199838300
Source: CMS National Downloadable File, September 2026.