Medical school: CHICAGO COLLEGE OF OSTEOPATHY
Graduated: 1990
Also: SPORTS MEDICINE
NPI: 1568462729
Practice Locations (2)
GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, PC
9615 KEILMAN ST
SAINT JOHN, IN 463739406
2193650220106
RCI (WRS) LLC
1300 LINCOLNWAY
VALPARAISO, IN 463835824
Source: CMS National Downloadable File, September 2026.