Graduated: 2018
NPI: 1558850164
Practice Locations (2)
PARKVIEW HEALTH SYSTEM INC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 468451701
2602662020
THE SOUTH BEND CLINIC LLC
211 N EDDY ST
SOUTH BEND, IN 466172808
5742348161
Source: CMS National Downloadable File, September 2026.