Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1992
NPI: 1467466615
Practice Locations (1)
COMMUNITY CARE NETWORK INC
10110 DON S POWERS DR, SUITE 202
MUNSTER, IN 463214070
2199228222
Source: CMS National Downloadable File, September 2026.