Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1376642249
Practice Locations (1)
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1376642249
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.