Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1578552386
Practice Locations (2)
MEMORIAL HOSPITAL OF SOUTH BEND
3220 BEACON PKWY
GRANGER, IN 465307196
5749998788
BEACON MEDICAL GROUP INC
6901 N MAIN ST, 102 BEACON MEDICAL GROUP MAIN STREET
GRANGER, IN 465308022
5746474500
Source: CMS National Downloadable File, September 2026.