Graduated: 2014
NPI: 1376925891
Practice Locations (2)
GOSHEN HEALTH SYSTEM INC
1701 S MAIN ST
GOSHEN, IN 465264723
5743642875
LAKELAND MEDICAL PRACTICES
42 N SAINT JOSEPH AVE, SUITE 103
NILES, MI 491202203
2696838070
Source: CMS National Downloadable File, September 2026.