Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1396733101
Practice Locations (3)
BEACON MEDICAL GROUP INC
3220 BEACON PKWY
GRANGER, IN 465307196
5749998838
BEACON MEDICAL GROUP INC
3221 BEACON PKWY
GRANGER, IN 465307196
5746471670
BEACON MEDICAL GROUP INC
1815 E IRELAND RD
SOUTH BEND, IN 466142845
Source: CMS National Downloadable File, September 2026.