Graduated: 2020
NPI: 1578190740
Practice Locations (2)
ADAMS COUNTY MEMORIAL HOSPITAL
1100 MERCER AVE
DECATUR, IN 467332303
2607242145
OSUP COMMUNITY OUTREACH LLC
601 STATE ROUTE 664 N
LOGAN, OH 431388541
7403808000
Source: CMS National Downloadable File, September 2026.