Medical school: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated: 1999
NPI: 1457373979
Practice Locations (1)
ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA INC
2310 CALIFORNIA RD
ELKHART, IN 465141228
5742640791
Source: CMS National Downloadable File, September 2026.