Graduated: 1995
NPI: 1447432802
Practice Locations (2)
MTC OF INDIANA LTD
823 PARK E BLVD, SUITE H
LAFAYETTE, IN 479050811
MTC OF INDIANA LTD
823 PARK E BLVD H, LAFAYETTE HEARING CENTER
LAFAYETTE, IN 479050787
7654486226
Source: CMS National Downloadable File, September 2026.