Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1994
NPI: 1467494393
Practice Locations (2)
HEALTHLINC INC
420 W 4TH ST
MISHAWAKA, IN 465441948
57430776734693
1608 PORTAGE AVE
SOUTH BEND, IN 466161740
5742332966
Source: CMS National Downloadable File, September 2026.