Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1999
NPI: 1518930015
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
2003 STULTS RD, SUITE 120
HUNTINGTON, IN 467501291
2604540425
Source: CMS National Downloadable File, September 2026.