Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1346276995
Practice Locations (5)
BEACON MEDICAL GROUP INC
900 I ST
LA PORTE, IN 463505533
2193241700
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST
SOUTH BEND, IN 466011033
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST, FL 5
SOUTH BEND, IN 466011033
5746477275
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST FL
SOUTH BEND, IN 466011033
BEACON MEDICAL GROUP INC
621 MEMORIAL DR
SOUTH BEND, IN 466011063
Source: CMS National Downloadable File, September 2026.