Graduated: 2001
NPI: 1598979650
Practice Locations (4)
AMS NORTHERN INDIANA LLC
1915 LAKE AVE
PLYMOUTH, IN 465639366
5749363181
AMS NORTHERN INDIANA LLC
1400 E 9TH ST
ROCHESTER, IN 469758931
5742233141
AMS NORTHERN INDIANA LLC
616 E 13TH ST
WINAMAC, IN 469961117
5749462100
ICELAND ANESTHESIA MANAGEMENT LLC
616 E 13TH ST, PULASKI MEMORIAL HOSPITAL
WINAMAC, IN 469961117
5749462100
Source: CMS National Downloadable File, September 2026.