Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1437249182
Practice Locations (4)
LA PORTE CLINIC COMPANY LLC
104 E CULVER RD
KNOX, IN 465342241
LA PORTE CLINIC COMPANY LLC
1331 STATE ST
LA PORTE, IN 463503112
LA PORTE CLINIC COMPANY LLC
1509 STATE ST
LA PORTE, IN 463503115
2193265700
LA PORTE CLINIC COMPANY LLC
6923 W 400
MICHIGAN CITY, IN 463609198
2193250604
Source: CMS National Downloadable File, September 2026.