Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1508803081
Practice Locations (4)
KOSCIUSKO MEDICAL GROUP LLC
1000 PROVIDENT DR, SUITE C
WARSAW, IN 465803255
5742678728
KOSCIUSKO MEDICAL GROUP LLC
1205 PROVIDENT DR A
WARSAW, IN 465803265
5742698383
KOSCIUSKO MEDICAL GROUP LLC
1275 PROVIDENT DR
WARSAW, IN 465803265
5742694026
KOSCIUSKO MEDICAL GROUP LLC
2101 DUBOIS DR
WARSAW, IN 465803210
5742673200
Source: CMS National Downloadable File, September 2026.