Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1983
NPI: 1447293436
Practice Locations (3)
KOSCIUSKO MEDICAL GROUP LLC
107 W PICKWICK DR A
SYRACUSE, IN 465671832
5744578585
KOSCIUSKO MEDICAL GROUP LLC
1205 PROVIDENT DR A
WARSAW, IN 465803265
5742698383
KOSCIUSKO MEDICAL GROUP LLC
1275 PROVIDENT DR
WARSAW, IN 465803265
5742694026
Source: CMS National Downloadable File, September 2026.