Graduated: 2021
NPI: 1386218014
Practice Locations (2)
PIC INDIANA PC
924 W PIKE ST, PHYSICIANS URGENT CARE
GOSHEN, IN 465262365
5743127056
PIC INDIANA PC
505 W CLEVELAND RD
MISHAWAKA, IN 465451003
5742353135
Source: CMS National Downloadable File, September 2026.