Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1447216965
Practice Locations (2)
MEDSTAT LLC
1001 N MAIN ST, SUITE 1
NAPPANEE, IN 465501016
5747734151
MEDSTAT LLC
1500 PROVIDENT DR, SUITE A
WARSAW, IN 465803297
5743727637
Source: CMS National Downloadable File, September 2026.